MEDICAL STUDENT CHAPTER APPLICATION

AANS Medical Student Chapters are established to provide mentorship and career development for the next generation of neurosurgical leaders. Please refer to the AANS Medical Student Chapter Rules & Regulations for details of eligibility and requirements.

Please type or clearly print information except where signatures are required.
SECTION I - SPONSOR/FACULTY

SECTION II - RESIDENT ADVISOR (optional)

SECTION III - STUDENT OFFICERS

Please provide any other student officer demographic information, including their role/title, on a separate sheet.

SECTION IV - CHAPTER PROPOSAL

Please provide a brief description of the organization of your medical student chapter and include:

  1. How will you format your chapter meetings? How frequently will you meet? What will be the structure of your meetings? How will you foster interest in membership of the chapter?
  2. Are there projects (research, institutional, service) that you would like to accomplish?
  3. How will you use the chapter to integrate with the department of neurosurgery at your institution?
SECTION V - REQUIRED DOCUMENTS

The following documents should be e-mailed to memberservices@aans.org:

  • A letter/statement of support from the dean of student affairs and neurosurgery program chair (If this medical school does not have a neurosurgical program, a letter of support from any AANS member neurosurgeon will be required.)
  • Draft of chapter charter
  • A list of the names, address, e-mail address, and anticipated date of graduation for all chapter members you wish to enroll as AANS medical student members for the duration of their medical school career
SECTION VI - FACULTY MENTOR SIGNATURE

By signing this application, the Sponsor agrees to:

  • Maintain a copy of the Chapter Charter on file for future review
  • Abide by the rules and regulations governing medical student organizations germane to your medical school
  • Maintain active membership in the American Association of Neurological Surgeons
  • Maintain an AANS medical student chapter in good standing that will abide by the rules and regulations applicable to all AANS members and organizations and will specifically –
    • Maintain a leadership structure delineated by the chapter charter
    • Hold annual elections or provide for an orderly succession to insure that all leadership positions are filled
    • Submit an electronic annual report detailing the membership, fundraising, research, educational, and social activities of the AANS medical student charter
    • Alert the AANS through the Medical Student Subcommittee of the Young Neurosurgeons Committee of all changes or alterations of the above agreement
        
SECTION VII - APPLICATION FEE

There is a $50.00 US submission fee that is to accompany this AANS medical student chapter application.

     
        

Mail payment and completed form to:
American Association of Neurological Surgeons
Attn: Member Services
5550 Meadowbrook Drive
Rolling Meadows, IL   60008


Or fax to:
847/378-0600

For questions, contact us at:
memberservices@aans.org