Complimentary PGY1 Resident Membership Application Form

The Canadian Neurological Sciences Federation (CNSF) manages six national specialty societies that deal with the management and prevention of neurologic conditions and diseases. This application form is for PGY1 residents only. All other application forms available on the CNSF Become a Member page.

I am a PGY1 resident in the following program:

= Canadian Neurological Society (CNS)
= Canadian Association of Child Neurology (CACN)
= Canadian Neurosurgical Society (CNSS)

First Name
Last Name

1. Residency Location
Phone
Email

2. Home Address
Phone
Email

Program Director's Name
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