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Application for Membership

Please Note: This application is for Allied or Corresponding Membership only. If you wish to apply for Active or Associate Membership, please visit the AUA website.

Membership Category

Allied membership is available to Non-Physician Scientists and is not usually available for physicians certified by medical boards. However, in exceptional instances, persons in related fields of medicine and science, who do not qualify for other categories of Association membership, may be considered for Allied Membership provided they have contributed significantly to the specialty of Urology. They shall be nominated by two Active or Senior members who shall furnish the Section Secretaries Committee with the curricula vitae and other pertinent information.
Corresponding Membership is available to urologists who practice in countries beyond the geographic boundaries of the AUA and wish to be a member of the SCS. The applicant shall be a member of the local or national urological organization in his country, and a letter of endorsement of that membership shall be submitted to the SCS with the application form. If a national organization does not exist within the applicant’s country, a waiver of this requirement may be considered by the Executive Committee. The applicant’s practice must be limited entirely to the specialty of urology. The applicant must be a graduate of an acceptable medical school who has received a Doctor of Medicine or equivalent degree. The applicant must be in practice for a minimum of two (2) years after completion of residency.

In addition to the submission of this form, you must also submit your CV:
Please submit only 10 pages or less (an abridged version is acceptable).

Applicant Information

Applicant Addresses

Office Address

Home Address

Payment Information (must be made in U.S. dollars)

  • Billing Information

If paying by check, make check payable to: South Central Section of the AUA, Inc.

Mail payment to:
South Central Section of the AUA, Inc.
Two Woodfield Lake
1100 E. Woodfield Road, Suite 350
Schaumburg, IL 60173

  • 491132