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
Protection of Privacy Information
The CNSF complies with the principles of the Personal Information Protection and Electronic Documents Act (PIPEDA). We will use the personal information collected on this form for processing this application. Unless you advise the secretariat office otherwise, we will use your contact information to disseminate CNSF, and CNSF Congress information, disseminate society information, and conduct society business. We do not loan, sell or rent our member lists.
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