MyoNYR Membership Application - Society for Muscle Biology

Name

First

Last

Institution/Organization

Department

Email

Phone Number

ORCID

Current Position/Title

Supervisor/PI (if trainee)

Research focus (select all that apply)

Highest degree earned

Field of study

Institution

Year completed

MyoNYR Interests

Please indicate which Society benefits are of most interest to you (check all that apply).

SMB Committee Interest (optional)

Executive Committee (President, Vice-President, Treasurer, Secretary)
Membership Committee
Education Committee (Bi-annual news articles)
Mentorship Committee (Event planning)

MyoNYR members are eligible to be nominated and elected to serve on committees. Please indicate which MyoNYR committee(s) are of most interest to you (check all that apply).

Brief Description of Prior Relevant Experience(s) Related to Selected Interests (100 words max):

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.

ORCID (100 degree

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.