Membership Application

Those wishing to apply for membership in SENTAC:

1. Download and complete the membership application 2013
   1. The form is distributed as an Adobe™ PDF file. To read the PDF file, you will need the free Acrobat Reader® supplied by Adobe™.
2. Application for membership must be accompanied by a current curriculum vitae and must be endorsed by two persons.
   1. These should be Fellows of the Society, unless you are not known to two Fellows. In that case, you may substitute any colleagues who can attest to your professional interests.
3. Submit to the SENTAC Sectretary at the address or fax provided below. (Do not submit dues)
4. Submit the application by September 30, for review this year.
5. If you have any questions, please call.

SENTAC Secretary

Julie L. Wei, M.D
Division of Otolaryngology
Nemours Children’s Hospital
13535 Nemours Pkwy.
Orlando, FL 32827

Phone: 407-650-7440
Fax: 407-650-7955
Julie.Wei@nemours.org