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Membership/CAAMA Exam Combination Application

Healthcare administrators canearn the prestigious CAAMA designation as soon as they join AAMA asa full member and meet these additionalkey requirements.

Membership/CAAMA Exam Special ComboOffer

  • Save $130!Join AAMA and Take the CAAMA Exam for Only $325

  • Scheduleyour CAAMA Exam date by July 1, 2008 and take theexam by August 15, 2008.

  • Offeravailable to new AAMA members only.  Reduced fee coversmembership through December 31, 2008.

  • Payment of the examfee entitles the examinee to three opportunities to pass theexam without additional fees.

  • Review thekeyrequirements for the CAAMA Credential.

Contact theEducation Coordinator at[email protected] or 847/759-8601 for additional information.

 

Entry Instructions: Use tab key orpoint mouse to advance to next question.

DO NOT USE “ENTER” KEY UNTILREADY TO SUBMIT

I amapplying for membership in the American Academy ofMedical Administrators. I am also applying formembership in the following specialty groups (no extracharge). Please check all that apply:

(formerly “Federal Sector”)American College of Small or Rural HealthcareAdministratorsIdo not wish to join a specialty group at this time


My primary specialtygroup will be: Please select one.s(formerly “Federal Sector”


Paymentmust accompany application(See payment section below)

Email:*
FullName:*
Designations: 
JobTitle:
Company:
PrimaryAddress:
Address:*
City:*  State:*   
Zip:*Country:
Phone:*Fax:
Active Military:BranchRank

AlternateAddress:

Address:
City:   State:   
Zip:   Country:
Phone:

GeneralInformation

Date of Birth:*Gender:  

Check eitherof the following that are applicable:

The following AAMA member-sponsorencouraged me to join: (optional)

EducationalBackground

College/Location (1):
Major (1):
Degree Received:Year:
College/Location (2):
Major (2):
Degree Received:Year:
Years experience inhealthcare management
Student Examinees (proof of status required)
Graduate Program:
College:
You may take the exam atyour location provided the person you choose as yourproctor holds the CAAMA designation or is part of aHuman Resource or Education/Training Department.Please contact AAMA’sEducation Coordinator if you should have anyquestions.
Exam Date & Location:
Proctor Name,If available:

PaymentMust Accompany Application for Processing

Membership/CAAMA ExamSpecialCombo Offer:$455.00 $325.00
Credit Card:    
Credit Card #:*
Expiration Date:*