COLLEGE OF SCIENCE AND TECHNOLOGY | HEALTHCARE PREPROFESSIONAL OFFICE Southern Miss Chapter AED Application rev 7/2012 Full Membership $85 (lifetime fee) AED National Criteria: Student must have at least a 3.2 overall GPA, a 3.2 science & math GPA (Biology, Chemistry, Physics, Math), and at least three semesters of college credits, of which at least one semester must be at USM. Students must attend the Spring AED Induction Ceremony in order to become a Full Member. If you do not attend the AED initiation, you will NOT be granted full membership in AED and all fees paid will become property of the Southern Miss Chapter. Associate Membership $45 Students who do not meet the AED National Criteria stated above may join the Southern Miss chapter at any time as an Associate member, and may attend all Chapter meetings. After meeting the AED National Criteria, students may be inducted as Full Members for an additional $40 fee (total of $85 for full membership). Name: Student ID Permanent Address: E-mail: Phone: Major: Preprofessional Area: Overall GPA: Science & Math GPA: Signature: Date AED membership status (check one): Full Associate Students seeking Full Membership: fill out the Southern Miss Chapter AED application form AND fill out the National AED form: http://www.nationalaed.org/pdfs/AED-application.pdf Students seeking Associate Membership: fill out the Southern Miss Chapter AED application form. Completed Application form(s) and Dues may be submitted to the Preprofessional Office in the Chain Technology Building (TEC 103) or mailed to the Preprofessional Office, USM Box 5165 using campus mail. Write checks payable to USM AED or pay cash in person. DO NOT MAIL CASH. Office Use Only: Date Received in Office