Membership Application

Please review the eligibility for membership criteria before you proceed.

  1. Nominee for Regular Membership shall be a graduate of an accredited dental or medical school and has shown special interest or accomplishment in oral medicine.
  2. Nominee for Affiliate Membership shall hold a doctoral degree, a professional degree in dental hygiene, or a related healthcare discipline and is engaged in teaching, healthcare, or research in oral medicine or in related areas and is not eligible for another category of membership in the Academy.
  3. This application form requires payment of $295.00 for Regular Membership or $145.00 for Affiliate Membership (student) which includes the one-time initiation fee. In event membership is not acted upon favorably, the total fee will be refunded. The fiscal year for dues starts January 1.
  4. After acceptance into the Academy, Regular Membership dues are $295.00 annually and Affiliate Membership (student) dues are $145.00 annually, which shall include a subscription to Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology. If you already receive the journal through another organization, the Mosby Co. will automatically refund a designated amount to you. Dues are payable prior to election.
  5. In order to complete this application, please send a copy of your curriculum vitae or resume and a recent photo, for publication purposes. Items can be sent to info@aaom.com or mailed to the AAOM, 23607 Hwy 99, Suite 2C, Edmonds, WA 98026
  6. If you prefer, you can Click here to download printable application.

Nominations must be returned as soon as possible to be acted upon at the next Academy meeting.