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Undergraduate Student Affiliate Application

The Undergraduate Student Affiliate status is a special way for undergraduate students to participate in the activities of the Society of Toxicology. Undergraduate Student Affiliates receive special information of interest to undergraduates, participate in a ToXchange community, and can access resources such as the CEd-Tox online courses. There is no fee for the affiliate status and undergraduates retain this status until their graduation. Undergraduate Student Affiliate applications are accepted at any time.

Undergraduate Student Affiliate Eligibility

  • Are enrolled in an academic program leading to a bachelor’s degree,
  • Have an interest in toxicology or related biomedical sciences, and
  • Submit the information required on the application.
* = Required Fields

Prefix:
*First:
*MI:
*Last:
Suffix:
*Institution:
*Expected Year of Graduation:
*Expected Month of Graduation:
*Primary Email address:

Address where you currently receive mail when at school:
*Line 1:
*Line 2:
*City:
*State:
*Postal Code:
*Country:

Permanent address where you can receive mail when NOT at school:
same as above
Line 1:
Line 2:
City:
State:
Postal Code:
Country:

Your Scientific Interests: (check all that apply)
  Toxicology
Cell Biology
Biochemistry
Chemistry
Physics
Mathematics
Pharmacology
Other (please list)

The following person is one of your professors or advisors who can verify your undergraduate status:

  *First Name:
 
  *Last Name:
 
  *Department:
 
  *Institution:
 
  *Phone:
 
  *Email:
 

SOT may ask you to participate in surveys or may send notices about special events at the Annual Meeting or about other opportunities of particular interest to students. In addition, SOT may provide your email address to graduate schools or research and summer program sponsors.

Yes, please include me in special student lists.
No, I do not want to receive special student notifications.


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