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Your Environment. Your Health.

Membership Application

If you haven't already done so, please review the benefits of IMACS membership

All required fields have the word (Required) after the label.

Optional information is used to facilitate use of information on IMACS members.

Demographics

Applicant Information

Membership Type
Associate Members have access to IMACS tools. Associate Members must reapply for membership after one year.
Full Members have access to IMACS tools and may participate in studies. Full Members do not need to reapply.

Affiliation Information

Affiliation (check all that apply)

Primary Affiliation Address

Optional Information

Please complete the optional information below to facilitate communication among IMACS members.

Myositis Research

Are you interested in Myositis research?
Are you interested in Myositis research?
If yes, what areas of myositis research interest you? Select all that apply:
If yes, what areas of myositis research interest you? Select all that apply:

Myositis Patients

Are you responsible for the clinical area of myositis patients?
Are you responsible for the clinical area of myositis patients?
If yes, what types of myositis patients are under your care?
If yes, what types of myositis patients are under your care?
Please select all clinical forms of myositis that you care for from the following:
Please select all clinical forms of myositis that you care for from the following:

Curriculum Vitae

Please have your CV updated before you begin the membership application. Your CV is requested for membership approval as a FULL member of IMACS (not for Associate Members). Please attach your CV in one of the following file formats:

  • Adobe PDF document (filename.pdf)
  • Word document (filename.doc)
  • Rich Text Format (filename.rtf)
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