{"id":201701,"date":"2016-05-16T13:48:49","date_gmt":"2016-05-16T18:48:49","guid":{"rendered":"http:\/\/siouxlandweb.com\/ios\/?page_id=201701"},"modified":"2019-12-10T22:08:33","modified_gmt":"2019-12-11T04:08:33","slug":"join-associate-membership","status":"publish","type":"page","link":"https:\/\/iowaorthopaedic.org\/join-associate-membership\/","title":{"rendered":"Join-Associate Membership"},"content":{"rendered":"<p>&nbsp;<\/p>\n<div class=\"frm_forms  with_frm_style frm_style_divi\" id=\"frm_form_15_container\" >\n<form enctype=\"multipart\/form-data\" method=\"post\" class=\"frm-show-form  frm_pro_form \" id=\"form_frmprocontact22\"  >\n<div class=\"frm_form_fields \">\n<fieldset>\n<legend class=\"frm_hidden\">Inactive - Associate Membership<\/legend>\r\n\r\n<div class=\"frm_fields_container\">\n<input type=\"hidden\" name=\"frm_action\" value=\"create\" \/>\n<input type=\"hidden\" name=\"form_id\" value=\"15\" \/>\n<input type=\"hidden\" name=\"frm_hide_fields_15\" id=\"frm_hide_fields_15\" value=\"\" \/>\n<input type=\"hidden\" name=\"form_key\" value=\"frmprocontact22\" \/>\n<input type=\"hidden\" name=\"item_meta[0]\" value=\"\" \/>\n<input type=\"hidden\" id=\"frm_submit_entry_15\" name=\"frm_submit_entry_15\" value=\"aa379dcd58\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/wp-json\/wp\/v2\/pages\/201701\" \/><div id=\"frm_field_122_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first frm_half\">\r\n    <label for=\"field_wwtp303\" class=\"frm_primary_label\">Name\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_wwtp303\" name=\"item_meta[122]\" value=\"\"  data-reqmsg=\"Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"Name is invalid\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_wwtp303\"\/>\r\n    <div id=\"frm_desc_field_wwtp303\" class=\"frm_description\">First<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_123_container\" class=\"frm_form_field form-field  frm_required_field frm_hidden_container frm_half\">\r\n    <label for=\"field_oag1ms3\" class=\"frm_primary_label\">Last\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_oag1ms3\" name=\"item_meta[123]\" value=\"\"  data-reqmsg=\"Last cannot be blank.\" aria-required=\"true\" data-invmsg=\"Last is invalid\" aria-invalid=\"false\"   aria-describedby=\"frm_desc_field_oag1ms3\"\/>\r\n    <div id=\"frm_desc_field_oag1ms3\" class=\"frm_description\">Last<\/div>\r\n    \r\n<\/div>\n<div id=\"frm_field_124_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container\">\r\n    <label for=\"field_67x2t2\" class=\"frm_primary_label\">Practice Name\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_67x2t2\" name=\"item_meta[124]\" value=\"\"  data-reqmsg=\"Practice Name cannot be blank.\" aria-required=\"true\" data-invmsg=\"Practice Name is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_125_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_full\">\r\n    <label for=\"field_3l3cwp3\" class=\"frm_primary_label\">Practice Address\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_3l3cwp3\" name=\"item_meta[125]\" value=\"\"  data-reqmsg=\"Practice Address cannot be blank.\" aria-required=\"true\" data-invmsg=\"Practice Address is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_126_container\" class=\"frm_form_field form-field  frm_top_container frm_full\">\r\n    <label for=\"field_puitbx3\" class=\"frm_primary_label\">Practice Address Line 2\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_puitbx3\" name=\"item_meta[126]\" value=\"\"  data-invmsg=\"Practice Address Line 2 is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_127_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first_half\">\r\n    <label for=\"field_w8z3lb3\" class=\"frm_primary_label\">City\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_w8z3lb3\" name=\"item_meta[127]\" value=\"\"  data-reqmsg=\"City cannot be blank.\" aria-required=\"true\" data-invmsg=\"City is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_128_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_fourth\">\r\n    <label for=\"field_9c57wk3\" class=\"frm_primary_label\">State\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    \t\t<select name=\"item_meta[128]\" id=\"field_9c57wk3\"  data-reqmsg=\"State cannot be blank.\" aria-required=\"true\" data-invmsg=\"State is invalid\" aria-invalid=\"false\"  >\n\t\t<option  value=\"\" selected='selected'> <\/option><option  value=\"AL\">AL<\/option><option  value=\"AK\">AK<\/option><option  value=\"AR\">AR<\/option><option  value=\"AZ\">AZ<\/option><option  value=\"CA\">CA<\/option><option  value=\"CO\">CO<\/option><option  value=\"CT\">CT<\/option><option  value=\"DE\">DE<\/option><option  value=\"DC\">DC<\/option><option  value=\"FL\">FL<\/option><option  value=\"GA\">GA<\/option><option  value=\"HI\">HI<\/option><option  value=\"ID\">ID<\/option><option  value=\"IL\">IL<\/option><option  value=\"IN\">IN<\/option><option  value=\"IA\">IA<\/option><option  value=\"KS\">KS<\/option><option  value=\"KY\">KY<\/option><option  value=\"LA\">LA<\/option><option  value=\"ME\">ME<\/option><option  value=\"MH\">MH<\/option><option  value=\"MD\">MD<\/option><option  value=\"MA\">MA<\/option><option  value=\"MI\">MI<\/option><option  value=\"MN\">MN<\/option><option  value=\"MS\">MS<\/option><option  value=\"MO\">MO<\/option><option  value=\"MT\">MT<\/option><option  value=\"NE\">NE<\/option><option  value=\"NV\">NV<\/option><option  value=\"NH\">NH<\/option><option  value=\"NJ\">NJ<\/option><option  value=\"NM\">NM<\/option><option  value=\"NY\">NY<\/option><option  value=\"NC\">NC<\/option><option  value=\"ND\">ND<\/option><option  value=\"OH\">OH<\/option><option  value=\"OK\">OK<\/option><option  value=\"OR\">OR<\/option><option  value=\"PA\">PA<\/option><option  value=\"RI\">RI<\/option><option  value=\"SC\">SC<\/option><option  value=\"SD\">SD<\/option><option  value=\"TN\">TN<\/option><option  value=\"TX\">TX<\/option><option  value=\"UT\">UT<\/option><option  value=\"VT\">VT<\/option><option  value=\"VA\">VA<\/option><option  value=\"WA\">WA<\/option><option  value=\"WV\">WV<\/option><option  value=\"WI\">WI<\/option><option  value=\"WY\">WY<\/option>\t<\/select>\n\t\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_129_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth\">\r\n    <label for=\"field_xk12lc3\" class=\"frm_primary_label\">Postal Code\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_xk12lc3\" name=\"item_meta[129]\" value=\"\"  data-invmsg=\"Postal Code is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_130_container\" class=\"frm_form_field form-field  frm_top_container frm_first frm_third\">\r\n    <label for=\"field_ijbt82\" class=\"frm_primary_label\">Phone Number\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"tel\" id=\"field_ijbt82\" name=\"item_meta[130]\" value=\"\"  style=\"width:160px !important\" data-invmsg=\"Phone Number is invalid\" class=\"auto_width\" aria-invalid=\"false\" pattern=\"((\\+\\d{1,3}(-|.| )?\\(?\\d\\)?(-| |.)?\\d{1,5})|(\\(?\\d{2,6}\\)?))(-|.| )?(\\d{3,4})(-|.| )?(\\d{4})(( x| ext)\\d{1,5}){0,1}$\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_131_container\" class=\"frm_form_field form-field  frm_top_container frm_third\">\r\n    <label for=\"field_uxbbh2\" class=\"frm_primary_label\">Fax Number\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"tel\" id=\"field_uxbbh2\" name=\"item_meta[131]\" value=\"\"  style=\"width:160px !important\" data-invmsg=\"Fax Number is invalid\" class=\"auto_width\" aria-invalid=\"false\" pattern=\"((\\+\\d{1,3}(-|.| )?\\(?\\d\\)?(-| |.)?\\d{1,5})|(\\(?\\d{2,6}\\)?))(-|.| )?(\\d{3,4})(-|.| )?(\\d{4})(( x| ext)\\d{1,5}){0,1}$\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_132_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_third\">\r\n    <label for=\"field_xnkv8k3\" class=\"frm_primary_label\">Email\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"email\" id=\"field_xnkv8k3\" name=\"item_meta[132]\" value=\"\"  data-reqmsg=\"Email cannot be blank.\" aria-required=\"true\" data-invmsg=\"Please enter a valid email address\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_133_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_clha32\" class=\"frm_primary_label\">Home Address\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <fieldset aria-labelledby=\"field_clha32_label\">\n<legend class=\"frm_screen_reader frm_hidden\">\n\tHome Address<\/legend>\n<div class=\"frm_combo_inputs_container\">\n<div id=\"frm_field_133-line1_container\" class=\"frm_form_field form-field \">\n\t<label for=\"field_clha32_line1\" class=\"frm_screen_reader frm_hidden\">\n\t\tHome Address\t<\/label>\n\t\t<input type=\"text\" id=\"field_clha32_line1\" value=\"\" name=\"item_meta[133][line1]\"  data-invmsg=\"Home Address is invalid\" aria-invalid=\"false\"   autocomplete=\"address-line1\" \/>\n\t<\/div>\n<div id=\"frm_field_133-line2_container\" class=\"frm_form_field form-field \">\n\t<label for=\"field_clha32_line2\" class=\"frm_screen_reader frm_hidden\">\n\t\tHome Address\t<\/label>\n\t\t<input type=\"text\" id=\"field_clha32_line2\" value=\"\" name=\"item_meta[133][line2]\"  data-invmsg=\"Home Address is invalid\" class=\"frm_optional\" aria-invalid=\"false\"   autocomplete=\"address-line2\" \/>\n\t<\/div>\n<div id=\"frm_field_133-city_container\" class=\"frm_form_field form-field frm_third frm_first\">\n\t<label for=\"field_clha32_city\" class=\"frm_screen_reader frm_hidden\">\n\t\tCity\t<\/label>\n\t\t<input type=\"text\" id=\"field_clha32_city\" value=\"\" name=\"item_meta[133][city]\"  data-invmsg=\"Home Address is invalid\" aria-invalid=\"false\"   autocomplete=\"address-level2\" \/>\n\t<div class=\"frm_description\">City<\/div><\/div>\n<div id=\"frm_field_133-state_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_clha32_state\" class=\"frm_screen_reader frm_hidden\">\n\t\tState\/Province\t<\/label>\n\t\t\t<select name=\"item_meta[133][state]\" id=\"field_clha32_state\"  data-invmsg=\"Home Address is invalid\" aria-invalid=\"false\"   autocomplete=\"address-level1\">\n\t\t\t<option value=\"\">\n\t\t\t\t \t\t\t<\/option>\n\t\t\t<option  value=\"Alabama\">Alabama<\/option><option  value=\"Alaska\">Alaska<\/option><option  value=\"Arkansas\">Arkansas<\/option><option  value=\"Arizona\">Arizona<\/option><option  value=\"California\">California<\/option><option  value=\"Colorado\">Colorado<\/option><option  value=\"Connecticut\">Connecticut<\/option><option  value=\"Delaware\">Delaware<\/option><option  value=\"District of Columbia\">District of Columbia<\/option><option  value=\"Florida\">Florida<\/option><option  value=\"Georgia\">Georgia<\/option><option  value=\"Hawaii\">Hawaii<\/option><option  value=\"Idaho\">Idaho<\/option><option  value=\"Illinois\">Illinois<\/option><option  value=\"Indiana\">Indiana<\/option><option  value=\"Iowa\">Iowa<\/option><option  value=\"Kansas\">Kansas<\/option><option  value=\"Kentucky\">Kentucky<\/option><option  value=\"Louisiana\">Louisiana<\/option><option  value=\"Maine\">Maine<\/option><option  value=\"Maryland\">Maryland<\/option><option  value=\"Massachusetts\">Massachusetts<\/option><option  value=\"Michigan\">Michigan<\/option><option  value=\"Minnesota\">Minnesota<\/option><option  value=\"Mississippi\">Mississippi<\/option><option  value=\"Missouri\">Missouri<\/option><option  value=\"Montana\">Montana<\/option><option  value=\"Nebraska\">Nebraska<\/option><option  value=\"Nevada\">Nevada<\/option><option  value=\"New Hampshire\">New Hampshire<\/option><option  value=\"New Jersey\">New Jersey<\/option><option  value=\"New Mexico\">New Mexico<\/option><option  value=\"New York\">New York<\/option><option  value=\"North Carolina\">North Carolina<\/option><option  value=\"North Dakota\">North Dakota<\/option><option  value=\"Ohio\">Ohio<\/option><option  value=\"Oklahoma\">Oklahoma<\/option><option  value=\"Oregon\">Oregon<\/option><option  value=\"Pennsylvania\">Pennsylvania<\/option><option  value=\"Rhode Island\">Rhode Island<\/option><option  value=\"South Carolina\">South Carolina<\/option><option  value=\"South Dakota\">South Dakota<\/option><option  value=\"Tennessee\">Tennessee<\/option><option  value=\"Texas\">Texas<\/option><option  value=\"Utah\">Utah<\/option><option  value=\"Vermont\">Vermont<\/option><option  value=\"Virginia\">Virginia<\/option><option  value=\"Washington\">Washington<\/option><option  value=\"West Virginia\">West Virginia<\/option><option  value=\"Wisconsin\">Wisconsin<\/option><option  value=\"Wyoming\">Wyoming<\/option>\t\t<\/select>\n\t<div class=\"frm_description\">State\/Province<\/div><\/div>\n<div id=\"frm_field_133-zip_container\" class=\"frm_form_field form-field frm_third\">\n\t<label for=\"field_clha32_zip\" class=\"frm_screen_reader frm_hidden\">\n\t\tZip\/Postal\t<\/label>\n\t\t<input type=\"text\" id=\"field_clha32_zip\" value=\"\" name=\"item_meta[133][zip]\"  data-invmsg=\"Home Address is invalid\" aria-invalid=\"false\"   autocomplete=\"postal-code\" \/>\n\t<div class=\"frm_description\">Zip\/Postal<\/div><\/div>\n<\/div>\n<\/fieldset>\n\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_134_container\" class=\"frm_form_field form-field  frm_top_container frm_first frm_half\">\r\n    <label for=\"field_te35\" class=\"frm_primary_label\">Home Phone Number\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"tel\" id=\"field_te35\" name=\"item_meta[134]\" value=\"\"  style=\"width:160px !important\" data-invmsg=\"Home Phone Number is invalid\" class=\"auto_width\" aria-invalid=\"false\" pattern=\"((\\+\\d{1,3}(-|.| )?\\(?\\d\\)?(-| |.)?\\d{1,5})|(\\(?\\d{2,6}\\)?))(-|.| )?(\\d{3,4})(-|.| )?(\\d{4})(( x| ext)\\d{1,5}){0,1}$\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_135_container\" class=\"frm_form_field form-field  frm_top_container frm_half\">\r\n    <label for=\"field_2lk1a2\" class=\"frm_primary_label\">Spouse Name\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_2lk1a2\" name=\"item_meta[135]\" value=\"\"  data-invmsg=\"Spouse Name is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_136_container\" class=\"frm_form_field form-field  frm_top_container frm_first frm_third\">\r\n    <label for=\"field_3koqz2\" class=\"frm_primary_label\">Medical School\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_3koqz2\" name=\"item_meta[136]\" value=\"\"  data-invmsg=\"Medical School is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_137_container\" class=\"frm_form_field form-field  frm_top_container frm_third\">\r\n    <label for=\"field_j1eig2\" class=\"frm_primary_label\">Degree\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_j1eig2\" name=\"item_meta[137]\" value=\"\"  data-invmsg=\"Degree is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_138_container\" class=\"frm_form_field form-field  frm_top_container frm_third\">\r\n    <label for=\"field_xygdl2\" class=\"frm_primary_label\">Date of Graduation\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_xygdl2\" name=\"item_meta[138]\" value=\"\"  maxlength=\"10\" data-invmsg=\"Date of Graduation is invalid\" class=\"frm_date\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_139_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">Internship(s):<\/h3>\r\n\r\n<input type=\"hidden\" name=\"item_meta[139][form]\" value=\"16\" class=\"frm_dnc\" \/>\n\t\t\t<div id=\"frm_section_139-0\" class=\"frm_repeat_sec frm_repeat_139 frm_first_repeat frm_grid_container\">\n<input type=\"hidden\" name=\"item_meta[139][row_ids][]\" value=\"0\" \/><input type=\"hidden\" name=\"item_meta[139][0][0]\" value=\"\" \/><div id=\"frm_field_140-139-0_container\" class=\"frm_form_field form-field  frm_top_container frm_first frm_fourth frm_field_140_container\">\r\n    <label for=\"field_v0egg2-0\" class=\"frm_primary_label\">Hospital\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_v0egg2-0\" name=\"item_meta[139][0][140]\" value=\"\"  data-sectionid=\"139\" data-invmsg=\"Hospital is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_141-139-0_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_field_141_container\">\r\n    <label for=\"field_7zd0t2-0\" class=\"frm_primary_label\">Type of Internship\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_7zd0t2-0\" name=\"item_meta[139][0][141]\" value=\"\"  data-sectionid=\"139\" data-invmsg=\"Type of Internship is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_142-139-0_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_field_142_container\">\r\n    <label for=\"field_77uhf2-0\" class=\"frm_primary_label\">Start\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_77uhf2-0\" name=\"item_meta[139][0][142]\" value=\"\"  data-sectionid=\"139\" maxlength=\"10\" data-invmsg=\"Start is invalid\" class=\"frm_date\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_143-139-0_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_field_143_container\">\r\n    <label for=\"field_iwmjl2-0\" class=\"frm_primary_label\">End\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_iwmjl2-0\" name=\"item_meta[139][0][143]\" value=\"\"  data-sectionid=\"139\" maxlength=\"10\" data-invmsg=\"End is invalid\" class=\"frm_date\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div class=\"frm_form_field frm_hidden_container frm_repeat_buttons \"><a href=\"#\" class=\"frm_add_form_row frm_button\" data-parent=\"139\" aria-label=\"Add\"><svg  viewBox=\"0 0 20 20\" width=\"1em\" height=\"1em\" class=\"frmsvg frm-svg-icon\">\n\t<title>plus1<\/title>\n\t<path d=\"M11 5H9v4H5v2h4v4h2v-4h4V9h-4V5zm-1-5a10 10 0 1 0 0 20 10 10 0 0 0 0-20zm0 18a8 8 0 1 1 0-16 8 8 0 0 1 0 16z\"><\/path>\n\n<\/svg> Add<\/a>\n<a href=\"#\" class=\"frm_remove_form_row frm_button\" data-key=\"0\" data-parent=\"139\" aria-label=\"Remove\"><svg  viewBox=\"0 0 20 20\" width=\"1em\" height=\"1em\" class=\"frmsvg frm-svg-icon\">\n\t<title>minus1<\/title>\n\t<path d=\"M5 9v2h10V9H5zm5-9a10 10 0 1 0 0 20 10 10 0 0 0 0-20zm0 18a8 8 0 1 1 0-16 8 8 0 0 1 0 16z\"><\/path>\n\n<\/svg> Remove<\/a> <\/div><\/div>\n\r\n<\/div>\n<div id=\"frm_field_145_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">Residencies:<\/h3>\r\n\r\n<input type=\"hidden\" name=\"item_meta[145][form]\" value=\"17\" class=\"frm_dnc\" \/>\n\t\t\t<div id=\"frm_section_145-0\" class=\"frm_repeat_sec frm_repeat_145 frm_first_repeat frm_grid_container\">\n<input type=\"hidden\" name=\"item_meta[145][row_ids][]\" value=\"0\" \/><input type=\"hidden\" name=\"item_meta[145][0][0]\" value=\"\" \/><div id=\"frm_field_146-145-0_container\" class=\"frm_form_field form-field  frm_top_container frm_first frm_fourth frm_field_146_container\">\r\n    <label for=\"field_jot0k2-0\" class=\"frm_primary_label\">Hospital\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_jot0k2-0\" name=\"item_meta[145][0][146]\" value=\"\"  data-sectionid=\"145\" data-invmsg=\"Hospital is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_147-145-0_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_field_147_container\">\r\n    <label for=\"field_glgzm2-0\" class=\"frm_primary_label\">Type of Residency\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_glgzm2-0\" name=\"item_meta[145][0][147]\" value=\"\"  data-sectionid=\"145\" data-invmsg=\"Type of Residency is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_148-145-0_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_field_148_container\">\r\n    <label for=\"field_bpoeb2-0\" class=\"frm_primary_label\">Start\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_bpoeb2-0\" name=\"item_meta[145][0][148]\" value=\"\"  data-sectionid=\"145\" maxlength=\"10\" data-invmsg=\"Start is invalid\" class=\"frm_date\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_149-145-0_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_field_149_container\">\r\n    <label for=\"field_98dfd2-0\" class=\"frm_primary_label\">End\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_98dfd2-0\" name=\"item_meta[145][0][149]\" value=\"\"  data-sectionid=\"145\" maxlength=\"10\" data-invmsg=\"End is invalid\" class=\"frm_date\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div class=\"frm_form_field frm_hidden_container frm_repeat_buttons \"><a href=\"#\" class=\"frm_add_form_row frm_button\" data-parent=\"145\" aria-label=\"Add\"><svg  viewBox=\"0 0 20 20\" width=\"1em\" height=\"1em\" class=\"frmsvg frm-svg-icon\">\n\t<title>plus1<\/title>\n\t<path d=\"M11 5H9v4H5v2h4v4h2v-4h4V9h-4V5zm-1-5a10 10 0 1 0 0 20 10 10 0 0 0 0-20zm0 18a8 8 0 1 1 0-16 8 8 0 0 1 0 16z\"><\/path>\n\n<\/svg> Add<\/a>\n<a href=\"#\" class=\"frm_remove_form_row frm_button\" data-key=\"0\" data-parent=\"145\" aria-label=\"Remove\"><svg  viewBox=\"0 0 20 20\" width=\"1em\" height=\"1em\" class=\"frmsvg frm-svg-icon\">\n\t<title>minus1<\/title>\n\t<path d=\"M5 9v2h10V9H5zm5-9a10 10 0 1 0 0 20 10 10 0 0 0 0-20zm0 18a8 8 0 1 1 0-16 8 8 0 0 1 0 16z\"><\/path>\n\n<\/svg> Remove<\/a> <\/div><\/div>\n\r\n<\/div>\n<div id=\"frm_field_151_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">Fellowship:<\/h3>\r\n\r\n<input type=\"hidden\" name=\"item_meta[151][form]\" value=\"18\" class=\"frm_dnc\" \/>\n\t\t\t<div id=\"frm_section_151-0\" class=\"frm_repeat_sec frm_repeat_151 frm_first_repeat frm_grid_container\">\n<input type=\"hidden\" name=\"item_meta[151][row_ids][]\" value=\"0\" \/><input type=\"hidden\" name=\"item_meta[151][0][0]\" value=\"\" \/><div id=\"frm_field_152-151-0_container\" class=\"frm_form_field form-field  frm_top_container frm_first frm_third frm_field_152_container\">\r\n    <label for=\"field_hbv7f2-0\" class=\"frm_primary_label\">Type of Fellowship\/Institution\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_hbv7f2-0\" name=\"item_meta[151][0][152]\" value=\"\"  data-invmsg=\"Type of Fellowship\/Institution is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_153-151-0_container\" class=\"frm_form_field form-field  frm_top_container frm_third frm_field_153_container\">\r\n    <label for=\"field_ss4o12-0\" class=\"frm_primary_label\">Start\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_ss4o12-0\" name=\"item_meta[151][0][153]\" value=\"\"  maxlength=\"10\" data-invmsg=\"Start is invalid\" class=\"frm_date\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_154-151-0_container\" class=\"frm_form_field form-field  frm_top_container frm_third frm_field_154_container\">\r\n    <label for=\"field_z3d632-0\" class=\"frm_primary_label\">End\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_z3d632-0\" name=\"item_meta[151][0][154]\" value=\"\"  maxlength=\"10\" data-invmsg=\"End is invalid\" class=\"frm_date\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div class=\"frm_form_field frm_hidden_container frm_repeat_buttons \"><a href=\"#\" class=\"frm_add_form_row frm_button\" data-parent=\"151\" aria-label=\"Add\"><svg  viewBox=\"0 0 20 20\" width=\"1em\" height=\"1em\" class=\"frmsvg frm-svg-icon\">\n\t<title>plus1<\/title>\n\t<path d=\"M11 5H9v4H5v2h4v4h2v-4h4V9h-4V5zm-1-5a10 10 0 1 0 0 20 10 10 0 0 0 0-20zm0 18a8 8 0 1 1 0-16 8 8 0 0 1 0 16z\"><\/path>\n\n<\/svg> Add<\/a>\n<a href=\"#\" class=\"frm_remove_form_row frm_button\" data-key=\"0\" data-parent=\"151\" aria-label=\"Remove\"><svg  viewBox=\"0 0 20 20\" width=\"1em\" height=\"1em\" class=\"frmsvg frm-svg-icon\">\n\t<title>minus1<\/title>\n\t<path d=\"M5 9v2h10V9H5zm5-9a10 10 0 1 0 0 20 10 10 0 0 0 0-20zm0 18a8 8 0 1 1 0-16 8 8 0 0 1 0 16z\"><\/path>\n\n<\/svg> Remove<\/a> <\/div><\/div>\n\r\n<\/div>\n<div id=\"frm_field_156_container\" class=\"frm_form_field frm_section_heading form-field \">\r\n<h3 class=\"frm_pos_top frm_section_spacing\">Positions held since completion of residency\/fellowship:<\/h3>\r\n\r\n<input type=\"hidden\" name=\"item_meta[156][form]\" value=\"19\" class=\"frm_dnc\" \/>\n\t\t\t<div id=\"frm_section_156-0\" class=\"frm_repeat_sec frm_repeat_156 frm_first_repeat frm_grid_container\">\n<input type=\"hidden\" name=\"item_meta[156][row_ids][]\" value=\"0\" \/><input type=\"hidden\" name=\"item_meta[156][0][0]\" value=\"\" \/><div id=\"frm_field_157-156-0_container\" class=\"frm_form_field form-field  frm_top_container frm_first frm_fourth frm_field_157_container\">\r\n    <label for=\"field_ribni2-0\" class=\"frm_primary_label\">Position\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_ribni2-0\" name=\"item_meta[156][0][157]\" value=\"\"  data-sectionid=\"156\" data-invmsg=\"Position is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_158-156-0_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_field_158_container\">\r\n    <label for=\"field_c3ntf2-0\" class=\"frm_primary_label\">Location\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_c3ntf2-0\" name=\"item_meta[156][0][158]\" value=\"\"  data-sectionid=\"156\" data-invmsg=\"Location is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_159-156-0_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_field_159_container\">\r\n    <label for=\"field_v2x1t2-0\" class=\"frm_primary_label\">Start\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_v2x1t2-0\" name=\"item_meta[156][0][159]\" value=\"\"  data-sectionid=\"156\" maxlength=\"10\" data-invmsg=\"Start is invalid\" class=\"frm_date\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_160-156-0_container\" class=\"frm_form_field form-field  frm_top_container frm_fourth frm_field_160_container\">\r\n    <label for=\"field_dtdjc2-0\" class=\"frm_primary_label\">End\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_dtdjc2-0\" name=\"item_meta[156][0][160]\" value=\"\"  data-sectionid=\"156\" maxlength=\"10\" data-invmsg=\"End is invalid\" class=\"frm_date\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div class=\"frm_form_field frm_hidden_container frm_repeat_buttons \"><a href=\"#\" class=\"frm_add_form_row frm_button\" data-parent=\"156\" aria-label=\"Add\"><svg  viewBox=\"0 0 20 20\" width=\"1em\" height=\"1em\" class=\"frmsvg frm-svg-icon\">\n\t<title>plus1<\/title>\n\t<path d=\"M11 5H9v4H5v2h4v4h2v-4h4V9h-4V5zm-1-5a10 10 0 1 0 0 20 10 10 0 0 0 0-20zm0 18a8 8 0 1 1 0-16 8 8 0 0 1 0 16z\"><\/path>\n\n<\/svg> Add<\/a>\n<a href=\"#\" class=\"frm_remove_form_row frm_button\" data-key=\"0\" data-parent=\"156\" aria-label=\"Remove\"><svg  viewBox=\"0 0 20 20\" width=\"1em\" height=\"1em\" class=\"frmsvg frm-svg-icon\">\n\t<title>minus1<\/title>\n\t<path d=\"M5 9v2h10V9H5zm5-9a10 10 0 1 0 0 20 10 10 0 0 0 0-20zm0 18a8 8 0 1 1 0-16 8 8 0 0 1 0 16z\"><\/path>\n\n<\/svg> Remove<\/a> <\/div><\/div>\n\r\n<\/div>\n<div id=\"frm_field_162_container\" class=\"frm_form_field form-field  frm_top_container\">\r\n    <label for=\"field_ltfh\" class=\"frm_primary_label\">Membership in Medical Societies\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <textarea name=\"item_meta[162]\" id=\"field_ltfh\" rows=\"5\"  data-invmsg=\"Membership in Medical Societies is invalid\" aria-invalid=\"false\"  ><\/textarea>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_163_container\" class=\"frm_form_field  frm_first frm_half frm_html_container form-field\">American Board of Orthopaedic Surgery Board Certification Date<\/div>\n<div id=\"frm_field_164_container\" class=\"frm_form_field form-field  frm_top_container frm_half\">\r\n    <label for=\"field_t28eh2\" class=\"frm_primary_label\">Certification Date\r\n        <span class=\"frm_required\"><\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_t28eh2\" name=\"item_meta[164]\" value=\"\"  maxlength=\"10\" data-invmsg=\"American Board of Orthopaedic Surgery Board Certification Date is invalid\" class=\"frm_date\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_165_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_first frm_half\">\r\n    <label for=\"field_17igw2\" class=\"frm_primary_label\">\"Signature\" (Type your name)\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_17igw2\" name=\"item_meta[165]\" value=\"\"  data-reqmsg=\"&quot;Signature&quot; (Type your name) cannot be blank.\" aria-required=\"true\" data-invmsg=\"&quot;Signature&quot; (Type your name) is invalid\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n<div id=\"frm_field_166_container\" class=\"frm_form_field form-field  frm_required_field frm_top_container frm_half\">\r\n    <label for=\"field_7gwlk2\" class=\"frm_primary_label\">Date\r\n        <span class=\"frm_required\">*<\/span>\r\n    <\/label>\r\n    <input type=\"text\" id=\"field_7gwlk2\" name=\"item_meta[166]\" value=\"\"  maxlength=\"10\" data-reqmsg=\"Date cannot be blank.\" aria-required=\"true\" data-invmsg=\"Date is invalid\" class=\"frm_date\" aria-invalid=\"false\"  \/>\r\n    \r\n    \r\n<\/div>\n\t<input type=\"hidden\" name=\"item_key\" value=\"\" \/>\n\t\t\t\t<div class=\"frm__655e115356bec\">\n\t\t\t\t<label for=\"frm_email_15\" >\n\t\t\t\t\tIf you are human, leave this field blank.\t\t\t\t<\/label>\n\t\t\t\t<input  id=\"frm_email_15\" type=\"text\" class=\"frm_verify\" name=\"frm__655e115356bec\" value=\"\" autocomplete=\"false\"  \/>\n\t\t\t<\/div>\n\t\t<input name=\"frm_state\" type=\"hidden\" value=\"i+5q+Vmog3wn85RHa4m\/g71Fn+Q9SGVcq7jsvUXVQWU=\" \/><div class=\"frm_submit\">\r\n\r\n<input type=\"submit\" value=\"Submit\"  class=\"frm_final_submit\" formnovalidate=\"formnovalidate\" \/>\r\n<img decoding=\"async\" class=\"frm_ajax_loading\" src=\"https:\/\/iowaorthopaedic.org\/wp-content\/plugins\/formidable\/images\/ajax_loader.gif\" alt=\"Sending\"\/>\r\n\r\n<\/div><\/div>\n<\/fieldset>\n<\/div>\n<\/form>\n<\/div>\n\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; &nbsp;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Join-Associate Membership - Iowa Orthopaedic Society<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/iowaorthopaedic.org\/join-associate-membership\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Join-Associate Membership - Iowa Orthopaedic Society\" \/>\n<meta property=\"og:description\" content=\"&nbsp; &nbsp;\" \/>\n<meta property=\"og:url\" content=\"https:\/\/iowaorthopaedic.org\/join-associate-membership\/\" \/>\n<meta property=\"og:site_name\" content=\"Iowa Orthopaedic Society\" \/>\n<meta property=\"article:modified_time\" content=\"2019-12-11T04:08:33+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/iowaorthopaedic.org\/join-associate-membership\/\",\"url\":\"https:\/\/iowaorthopaedic.org\/join-associate-membership\/\",\"name\":\"Join-Associate Membership - Iowa Orthopaedic 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