WTA Membership Application

Active membership in the Western Trauma Association is open to Doctors of Medicine or Doctors of Osteopathy who are Board Certified in their particular medical specialty, as recognized by the American Board of Medical Specialties. Active membership is limited to 125 individuals. In keeping with the WTA’s effort to offer a multidisciplinary educational program, no more than 40% of the membership can represent any one specialty.

Associate membership is available to non-physicians with a special interest or expertise in trauma.

Before completing an application make sure you meet the following requirements:

  • I am a Board Certified MD/DO (Active Membership) OR a non-physician with a special interest or expertise in trauma (Associate Membership)
  • I have attended a Western Trauma Association meeting at least once in the past 3 years
  • I have been an author or co-author on a submitted scientific abstract for consideration by the WTA Program Committee in the past three years
  • I have a WTA Member willing to sponsor my application
  • I will attend at least 1 out of every 3 meetings prior to my becoming a member to remain on the membership wait-list

According to the WTA Bylaws:

Candidates for membership must submit a completed application and a letter of support from a sponsoring member of the Association. The candidate must also have been an author or co-author on a submitted scientific abstract for consideration by the Program Committee within three years of the time of the application and have attended a meeting within three years of the time of application.

Once the membership application is complete, the candidate will be considered a Member Initiate. A Member Initiate must attend at least one out of every three consecutive meetings prior to the meeting in which he/she is voted on for membership.

WTA Membership Application

Applicant Information

Name *
Name <span style="color: #B94A48;">*</span>

Office

Home

Education

Board Certification

Maximum upload size: 268.44MB
Maximum upload size: 268.44MB

Western Trauma Sponsoring Member

Sponsor Letter Submission
A sponsor letter is required with your application. You have the option to email your sponsor letter to amy@westerntrauma.org or upload it with this application.
Maximum upload size: 268.44MB

Western Trauma Association Meetings Attended

Required for membership

Abstracts Submitted to Western Trauma Association

Maximum upload size: 268.44MB

Papers Presented at Western Trauma Association

*** Admin Use Only ***
 

Maximum upload size: 268.44MB