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SAPA Membership Application form
Membership Level:
Full Member/Attending Physician/Pharmacist/Dentist
Full Member/In Training Physician
Full Member/Public Health
Associate Member (ECFMG Certified and Resides in the USA)
Affiliate Member
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State:
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The membership you have selected will automatically renew.
State License Number
Current Employer- Name and Department
Current career status
USA trained - Practicing outside USA
Non practicing Physician/pharmacist/Dentist
Master Student not ECFMG certified
Sudanese Medical graduates not ECFMG certified
Sudanese Medical Student not ECFMG certified
Medical Specialty
Anesthesia
Dentist
Emergency Medicine
Family medicine
Internal Medicine
Neurology
OB/GYN
Pathology
Pharmacist
Pediatrics
Physical Medicine and Rehabilitation
Psychiatry
Radiology
Surgery
Current work position
Fellow
Resident
Current Career Status
ECFMG certified non practicing Sudanese medical graduates
ECFMG certified Sudanese medical students studying within the USA
Sudanese medical students studying within the USA
ECFMG No.