MyoNYR Membership Application

First Name *

Last Name *

Email Address *

Confirm Email Address *

Phone Number

Institution/Organization *

Department *

Work Mailing Address *

ORCID

Current Position/Title *

Supervisor/PI/Group Lead *

Field of Study (highest degree) *

Institution (highest degree) *

Year of Completion (highest degree) *

MYoNYR Interests *Please indicate which Society benefits are of most interest to you (check all that apply).Annual scientific meetingsNetworking opportunitiesCareer development resourcesTrainee mentorship programsLeadership opportunities

Statement of Interest (100 words max): *What do you hope to gain from connecting with other early-career muscle biology researchers, and what could you offer to that community in return?0 / 100

Diversity and Inclusion (gender) *The Society for Muscle Biology is committed to fostering diversity and inclusion. The following demographic information is collected for statistical purposes only and will remain confidential.FemaleMaleNon-binaryPrefer not to sayPrefer to self-describe

Diversity and Inclusion (current lab: location) *The Society for Muscle Biology is committed to fostering diversity and inclusion. The following demographic information is collected for statistical purposes only and will remain confidential.AfricaAsiaAustralia/OceanaEuropeNorth AmericaSouth America

Agreement *I hereby apply for membership in the Society for Muscle Biology MyoNYR. I have read, understand and agree to abide by the Society's bylaws and code of conduct. I understand that membership is subject to approval by the Membership Committee and the subsequent payment of membership dues, and that providing false information may result in denial or revocation of membership. I consent to the Society using my contact information to communicate about membership benefits, events, and society activities. I understand I may opt out of non-essential communications at any time.I agree to the above statement

Before you apply

Only SMB members, or individuals under consideration for SMB membership are eligible for MyoNYR membership consideration. Please fill out an SMB membership application prior to submitting your MyoNYR membership application.