Member Application

AHME's membership year runs from November 1st through October 31st. OUR WEBSITE WILL PRO-RATE MEMBERSHIPS STARTING ON MAY 1ST.

However, starting August 1st, your membership will be full price, but will be valid until October 31st of the following year.

Institution Information

Institution:

Work Address Line 1:

Work Address Line 2:

City:

State:

Zip:

Work Phone:

Cell Phone:

Fax:

E-mail:

Website:

Create Member Account Login

Your member account allows you to update your information online via a secure login.

Admin E-mail:

Password:

Verify Password:

Membership Type

Institutional Member

Hospitals and other medical education institutions may join AHME as institutional members. Each institution may appoint up to five representatives, who are involved in medical education, and they will have full active membership in AHME. Dues are $2,000.00 per year. Additional institutional representatives can be added for the price of $350.00 per person up to 10. Contact the AHME office for discounted pricing on additional Reps in excess of 10.

$2,000.00

Individual Member

All individuals who are involved in medical education are eligible for membership in AHME. Dues are $495.00 per year.

$495.00

Associate Member

An associate membership is only available to those non-members who register for the AHME Institute and pay the non-member rate. Associate membership is an introductory membership and dues are $50 for the period from mid May through October 31 of that year. Associate members are entitled to the full benefits of membership but, should the associate member wish to continue his/her membership with AHME, he/she must join as an individual member or as part of an institutional membership the following year. Associate membership is only offered one time; should a member take advantage of the Associate membership and decide not to maintain their membership, they are not permitted to reapply another year if they attend the Institute as a non-member.

$50.00

Contacts

Member Name

Prefix:

First Name:

Last Name:

Suffix:

Familiar Name:

Pick the title that best describes your position within your institution

Sub-specialty:

Create Login

Your member login allows you to update your information online and register for events.

Username:

Password:

Verfiy Password:

Use Institution contact information above

COIL (Council of Institutional Leaders)

COPAC (Council of Program Administrators and Coordinators)

CPFD (Council on Professional and Faculty Development)

CTYPD (Council of Transitional Year Program Directors)

Increase your ability to network by joining councils that support your role at no additional charge. You can review the mission of each Council here.

Billing Contact

Send invoices to Primary Contact

Prefix:

First Name:

Last Name:

Suffix:

Familiar Name:

Pick the title that best describes your position within your institution

Sub-specialty:

Create Login

Your member login allows you to update your information online and register for events.

Username:

Password:

Verfiy Password:

Use Institution contact information above

COIL (Council of Institutional Leaders)

COPAC (Council of Program Administrators and Coordinators)

CPFD (Council on Professional and Faculty Development)

CTYPD (Council of Transitional Year Program Directors)

Increase your ability to network by joining councils that support your role at no additional charge. You can review the mission of each Council here.

Total:

$0.00

Your first invoice will be for the following prorated amount. This covers your membership dues from today through October 31st, 2024.

First Invoice Prorated Amount:

Security Code:

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