ACMG membership runs on a calendar year basis. Those applying:

Jan. 1 – May 31           Pay Full Year dues amount          

June 1 – Sept 30         Pay ½ Year dues amount

Oct. 1 – Dec. 31          Pay Full Year dues amount (includes dues through Dec. 31 of the following year)

A one-time application fee of $50 is required and is non-refundable.  Student applicants are exempt from the application fee.  Dues and application fee must accompany application.  Those wanting to pay by check can download an application below. For institutional accounting purposes, the ACMG Federal ID# is 52-1774227.

New member applications are approved by the ACMG Board monthly. You will receive written notification and membership materials once your application is approved. Questions regarding membership status should be sent to acmg@acmg.net or you can call 301-718-9603.

Download Membership application
(Microsoft Word Document)

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Please use the above search tool to check for your existing record in our database. If your record is returned, you may click on it to sign in and update your record to continue filling in your application form .
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Prefix

First Name
Middle Name
Last Name

Name/Degree(s) on medical/board certificates (if different than above)

Title


Institution
Preferred Mailing Address: 

 

 

 

Work Address 1

Work Address 2
Work Address 3
 
Work Country

Work City
State
Zip/Postal Code

Work Phone
 
Work Fax
 
Work Email
 
Home Address 1

Home Address 2

Home Address 3

Home Country
 
Home City

State

Zip/Postal Code

Home Phone
 
Home Fax
 
Home Email
 

*Institution address will be displayed in the Membership Directory. Directory preferences may be updated from the Members Only section of the ACMG website.

Preferred Email**
 
Email Type

Faculty Member
 

**To facilitate email communications, please add acmg@acmg.net to your approved sender list.

NPI#

Date of Birth

To which gender do you most identify?

Gender Other
Which category best describes you?

Ethnicity Other

 

 Please note here if an ACMG member recruited you to join the College: 

 Recruiter Name: 

 Recruiter Email: 

 

 What ACMG Communications, if any, spurred your decision to join? 

Category of Membership Requested***:

      Category Descriptions and Fees

***Applicants for Candidate Fellow and Associate Member (if not yet certified), you will be asked to upload proof of eligibility for Board Certification on the next page. Applicants for Trainee and Student membership, please download and complete a Verification of Student/Trainee Status form, which you will be asked to upload during the application process. If you are unable to upload required documentation at this time, you can email it to acmg@acmg.net.

 

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For login purposes, your Username will be the preferred email provided.

In order to respect the privacy interests of all ACMG Users, the College is taking steps to determine your privacy wishes and attempt to manage your data accordingly. We want ACMG Users to understand why their data is collected, how their data is used, and how ACMG protects their data, and we want to provide you with the flexibility to decide what information you want to receive, have shared or have removed from our systems.

For further information on how we protect your personal information, please see our ACMG Privacy Policy/Website Terms and Conditions of Use Notice.

 I have read and I accept and agree to ACMG’s Privacy Policy and Website Usage Terms and Conditions Notice.

To allow our users ample time to opt-in to ACMG communications lists, and avoid interruption to the important resources ACMG delivers to them, the privacy preferences we offer below will go into effect on January 31, 2019.  

ACMG Data Privacy Preferences 

All ACMG members receive ACMG transactional, educational and informational communications such as member alerts, member newsletters, ACMG Board statements, Genetics in Medicine, membership renewal information and other members’ only communications by email, postal mail and telephone.

In addition, you may elect to receive the following communications from ACMG,the ACMG Foundation for Genetic and Genomic Medicine, and ACMG Service Providers. 

Yes, send me (please select your preferences):

 ACMG Annual Clinical Genetics Meeting communications
 ACMG Foundation communications
 ACMG Educational opportunities

You must check the applicable boxes above to receive these ACMG and Foundation communications. If you DO NOT explicitly opt in, you will not receive our communications.
 

ACMG Membership Directory  

 Yes, please list me in ACMG’s online Membership Directory.* 
*members’ full name, prefix,applicable degrees, ACMG credential, institution, institution address, work phone, work fax and email will be displayed in ACMG’s publically accessible Membership Directory unless other preferences have been selected.

The Members Only version of the Membership Directory also includes the following data: gender, ACMG membership typ, nickname, applicable certifications, title, and website unless other preferences have been selected. 
Directory preferences may be updated on your member profile ("Update My Account" in the Members only section of the website).

If the above box is not checked, you will be omitted from the ACMG online Membership Directory.

ACMG Foundation Donor Acknowledgement

 Yes, please acknowledge my support of the ACMFG Foundation as outlined below.

The ACMG Foundation acknowledges those who support the Foundation and its programs on the ACMG and ACMG Foundation websites, in our publications and on signage at the ACMG Annual Clinical Genetics Meeting.   

If the above box is not checked, you will be omitted from our websites, communications and meeting signage.