IOA Membership Application

Complete the form below to be considered for membership in the Institute on Aging at The Ohio State University. Applications are reviewed by the IOA Internal Advisory Committee on a quarterly basis.

Before you begin, please ensure you have all required materials, including a recent photo (.jpg, .jpeg, or .svg).

Questions? Contact the IOA at ioa@osumc.edu

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Personal Information

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Membership Application Information

Desired Membership Type

How do you intend to contribute to the IOA's mission (check all that apply)

Serve as a mentor/advisor to at least one aging scientist, physician, or research trainee, ideally demonstrating cross-college involvement

Serve as an IOA community liaison or acting IAC member

Contribute to an Institute grant proposal as a principal investigator, co-investigator, collaborator, or advisor

Collaborate with IOA members from different departments or programs as evidenced by co-publications and grants

Contribute to the resource development efforts in business, industry, intellectual property law, operational efficiency, education, policy, or community engagement

Contribute to IOA efforts in business, industry, intellectual property, operational efficiency, education, policy, or community engagement

Serve as an IOA consultant for study design, analysis, and regulatory processes

Membership Agreement

By checking this box, I agree to the following:

I agree to actively contribute to the Institute on Aging if granted membership. This includes participation in Institute activities (e.g., seminars, workshops, committees, advocacy, and outreach), engagement in collaborative scholarly work, and timely response to Institute requests for information related to funding, collaborations, outreach, and other activities.

I understand that membership is reviewed biannually based on ongoing engagement.

I agree