Application for Membership

The Canadian Society of Neuroradiology (CSNR)  represents neuroradiologists and diagnostic radiologists with neuroradiology specialty training, as well as those in neuroradiology and diagnostic radiology training across Canada.

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

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 / Main Area of Neuroradiology Focus

Provincial Royal College Medical License
Province of Licensure
Dates Valid

Membership Categories
Annual fee per calendar year - $400 (Canadian) Full Member applicants must be physicians certified in Neuroradiology by the Royal College of Surgeons of Canada or have completed at least one year of Neuroradiology subspecialty training and have a focus on neuroradiology in their clinical practice. OR a person holding certification in Diagnostic Radiology and expertise and focus in Neuroradiology.
Year of residency PGY OR Fellowship year of
Program director's name
Annual fee per calendar year - $80 (Canadian) Junior Member applicants must be registered in a Canadian neuroradiology residency training program, or in fellowship training in neuroradiology, or a related subspecialty fellowship, recognized by the Royal College of Surgeons of Canada. Upon successful completion of a neuroradiology 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 Diagnostic Radiologists, MDs or PhDs, or other well-qualified workers in allied fields of medicine, who are interested in the study of neuroradiology, but do not qualify for 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 for financial gain.
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