Webform According to STS Bylaws Article III, Section 3, "any Surgeon Member sixty-one years of age or older, upon the submission of a declaration of retirement from employment in the field of medicine to the Secretary for recommendation to the Board of Directors, and with Board of Directors approval, shall become a Senior Member effective the first day of January after such Board approval." Please complete the form below to request early Senior Member status. Your Full Name Your Email Address Your Date of Birth Please indicate whether or not you are currently employed in the field of medicine in any capacity. - Select -I am retired from employment in the field of medicine.I am not retired from employment in the field of medicine. Please briefly explain your current employment circumstances in support of your request for early Senior Member status. CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Leave this field blank
