Arizona Physiological Society

If you would like to apply for membership into the Arizona Physiological Society, please fill out and submit the form below.

Choose the membership category for which you are applying
Name *
Date of birth *
Date of birth
Please list your current position.

Or, If you are enrolled as a degree-seeking student, please provide the following information: Anticipated graduation date, Degree being sought, Institution, Major field, Advisor.
Institutional address *
Institutional address
Phone (primary) *
Phone (primary)
Phone (secondary)
Phone (secondary)
Members of the American Physiological Society (APS) are automatically approved for membership in the AzPS. If you are not currently a member of the APS, list below two references who are members of the APS/AzPS (note: if you do not know any members of the APS, email the Executive Committee via John Kanady at for an application referral).
Mail a check to: The Arizona Physiological Society, c/o Membership Committee, Department of Physiology, Ina Gittings Bldg. Rm. 101, Tucson, AZ 85721-0093. Dues structure: $30 (Regular) - $15 (Trainee, Postdoctoral Fellow) - $10 (Graduate Student) - $5 (Undergraduate Student)

You can also pay online through PayPal. Click HERE to do so, then return to this page to finish submitting your application.
Terms of membership review *
Upon receipt of this form, provisional membership can be granted and participation in the upcoming meeting allowed. Executive Committee Members will review that you qualify for membership in accordance with the By-Laws of The Arizona Physiological Society. Full membership will be decided by the end of the AzPS annual meeting.