Application for Membership

The Canadian Neurological Society (CNS)  represents neurologists and those in neurology training across Canada.

As a member of the CNS, you are automatically a member of the Canadian Neurological Sciences Federation (CNSF).

Membership runs on a calendar year and is renewable annually.

Contact Information
First Name
Last Name
Position/Title
Hospital or Office/Business Address
Phone
Email
Home Address/Mailing Address
Phone
Email

Education/Professional Experience
Education Experience
Enter as 'Degree, Institution, Dates' - one line per entry
Add Line
Residency Training
Enter as 'Field, Institution, Dates' - one line per entry
Add Line
Fellowship Training
Enter as 'Field, Institution, Dates' - one line per entry
Add Line
Post Fellowship Plans
If currently in fellowship - indicate post-fellowship plans
Special Interests / Neurology Experience

Provincial Royal College Medical License
Province of Licensure
Dates Valid

Membership Categories
Annual fee per calendar year - $380 (Canadian) Full Member applicants are physicians certified in Neurology by the Royal College of Physicians and Surgeons of Canada or licensed by the College of Physicians and Surgeons of any Province of Canada, or equivalent certification to practice neurology.
Year of residency PGY OR Fellowship year of
Program director's name
Annual fee per calendar year - $80 (Canadian). PGY1 residents receive complimentary membership. Junior Member applicants must be registered in a Canadian residency training program in neurology, or in fellowship training in neurology, or a related subspecialty fellowship, recognized by the Royal College of Surgeons of Canada. Upon successful completion of a neurological training program and/or fellowship training, Junior members will be promoted to Full Member status.
Specialty / Field:
Annual fee per calendar year - $250 (Canadian) Associate Member applicants are MDs or PhDs, or other well-qualified workers in allied fields of medicine, who are interested in the study of the nervous system, but do not meet the requirements of Full membership.
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 your membership application. Once it is approved, 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.
Sending...