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SRU Membership Categories and Fees

General Member ($300.00 per year)
A general member is a physician who is certified by the American Board of Radiology, the American Osteopathic Board of Radiology or the Royal College of Physicians and Surgeons of Canada or provides evidence of training, experience and certification judged to be equivalent by the Membership Committee.  General members shall be engaged or interested in the practice of diagnostic ultrasound. General members shall be required to pay their dues in a timely fashion and then shall have full privileges of membership in the society, which include voting, serving on committees and holding elective office.


Transitional Member ($150.00 per year)
A transitional member is an individual who has completed a radiology residency program that is accredited by the American Council of Graduate Medical Education or equivalent organization during the previous year, or who has completed such a residency program immediately followed by a post-residency fellowship program during the previous year. Transitional members shall be engaged or interested in the practice of diagnostic ultrasound. Transitional members shall be required to pay their dues in a timely fashion and then shall have full privileges of membership in the society, which include voting, serving on committees and holding elective office.


Member-In-Training (No Dues)
A member-in-training must be currently enrolled in a radiology residency or post-residency fellowship program that is approved by the Radiology Residency Review Committee of the American Council of Graduate Medical Education or an equivalent society. Training status must be verified by the program director. Members-in-training shall not have the privilege of voting or holding elective office. Upon completion of their training, members-in-training will be offered transitional membership.
 
 
SRU Membership Application Form
 
Complete the application form, enter the letters and/or numbers found in the highlighted box into the blank security code box, and click the "Submit Membership Application" button at the bottom of the page. You will receive a confirmation email, and will be billed separately (if applicable).
 
 

Application for Membership

********************************************* Member-Get-A-Member Campaign **********************************************

* Name of Referring Member: (last, first)  
* Member Number, if available:  
* City, State, Country  
* Email Address:  
**************************************************************************************************************************************
*   General Member (Complete part I)
Transitional Member (Complete part I)
Member-In-Training (Complete part II)

* First Name  
M.I.  
* Last Name  

* Degree (M.D., D.O., Other)  
* Primary Address   Home
Work

Name of Institution  
Department  
* City  
* Address or PO Box  
* State/Province  
* Zip/Postal Code  
* Country  
* E-mail Address  
Date of Birth *  
* Last 4 digits of Social Security Number or Equivalent *  
Gender   M
F
*Date of birth and last 4 digits of SSN are used to identify you in our database

* Phone  
Fax  

Secondary Address (if different from mailing address)   Home
Work
Name of Institution  

Department  
Address or PO Box  
City  
State  
Zip/Postal Code  
Country  
E-mail Address  
Phone  

Fax  

I. Training/Board Certification/Ultrasound Experience

A. Radiology Residency   Yes
No
Name of Institution  
Specialty  
Date of Completion  

Type of Fellowship  
B. Fellowship   Yes
No
Name of Institution  
Date of Completion  

C. Board Certification   Yes
No
Certification Type  
Certifying Board  
Date of Certification  
Certification Expiration Date  

Certification Type  
Certifying Board  
Date of Certification  
Certification Expiration Date  

D. What percentage of your practice is in ultrasound?   0-25%
26-50%
51-75%
76-100%

II. In-Training applicants must complete this section

I certify that I am serving as a Resident/Fellow in (specialty)  
at (Name of institution)  
Date program began (begins)  
Date program ends  
Name of Program Director  
Phone  
E-mail  




Security Code:

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