Application for New Membership The Idaho Chapter of the American Association of Naturopathic Physicians (IDAANP) is a non-profit, professional organization for Licensed Naturopathic Physicians. IDAANP recognizes and adopts the definition of naturopathic medicine as defined by the American Association of Naturopathic Physicians (AANP) Position Paper, adopted Nov. 1, 1989. IDAANP promotes the philosophy, art, science and clinical practice of Naturopathic healthcare, supports and strengthens the standards of Naturopathic practice, and encourages ethical conduct in the Naturopathic profession. All membership applications will be reviewed and processed according to the Bylaws of the IDAANP. Regular Member – $250/year Option A – A graduate of a naturopathic medical school that is accredited by the Council on Naturopathic Medical Education (CNME), or is in the process of accreditation from the CNME. And holds a current naturopathic physician state license. Documentation required: Photocopy of your naturopathic school diploma. Photocopy of a current state naturopathic physician license. Option B – IDAANP, reserves the right to review exceptions to the above criteria and grant Regular Membership on an individual basis. New Graduate Member – $50/year New Graduate members are alumni of a college whose graduates are eligible for Regular membership. New Graduate status starts from the date of graduation and lasts for 1 year. New Graduates may have a voice in the business of the Association, but will not be eligible to vote in Association matters and shall not hold office on the Board until they obtain a license to practice naturopathic medicine in a state recognized by the American Association of Naturopathic Physicians (AANP). Documentation required: Photocopy of your naturopathic school diploma. Optional: Photocopy of your current state naturopathic physician license. This document is required upon renewal as a Regular Member. Student Member - $25/year Student members are eligible for membership if they are enrolled at a college whose graduates are eligible for Regular membership - Option A. They may have a voice in the business of the Association, but will not be eligible to vote in the Association matters and may not hold office on the Board. Documentation required: Copy of Student ID card from CNME approved naturopathic medical school. Copy of current class schedule from CNME approved naturopathic medical school. Membership Type ---Regular MembershipNew Graduate MembershipStudent Membership Contact Information Name (required) Date of Birth (mm/dd/yyyy required) Clinic Name (required) Clinic Phone Number (required) Clinic Address (required) Personal Address (required) Personal Phone (required) Fax Email Website Citizenship (required) Education and Professional Experience Undergraduate degree Naturopathic or other graduate school Hours Required for Graduation Years in Practice Highest Degree Earned Year Graduated Other Degrees and Schools State(s) in which you are licensed, and kind of license License(s) number(s) Naturopathic Association Memberships Other Professional Association Memberships Other Professional or Specialty Training Have your ever had a license suspended or revoked in a state? (required) YesNo If Yes, please explain References (Please list three) Reference #1 Reference Name (required) Reference Address (required) Reference Phone (required) Reference Relationship (required) Reference #2 Reference Name (required) Reference Address (required) Reference Phone (required) Reference Relationship (required) Reference #3 Reference Name (required) Reference Address (required) Reference Phone (required) Reference Relationship (required) I confirm that the information given above is correct and I desire to become a member of the Idaho Chapter of the American Association of Naturopathic Physicians. My application is made in good faith and with proper intent and if issued a Certificate of Membership by the IDAANP, I will abide by the rules, bylaws and code of ethics of the Idaho Chapter of the American Association of Naturopathic Physicians. Your Full Name A $50 application fee is required for all applicants. After submission of this form, you will be transferred to PayPal where you can pay with a a credit/debit card or PayPal account.