Application Form ICRS Nomination Committee Members 2025

Application Form ICRS Nomination Committee Members 2025 - 2027
Name*

First NameLast Name
Institution*
City*
Country*
Email*
example@example.com
Please indicate which ICRS Events you attended in the last 5 years*

ICRS World Congress Boston 2025Lab Skills Course Utrecht 2025World Series São Paulo 2025Surgical Skills Doha 2025Focus Meeting Munich 2024Summit Catania 2024Focus Meeting Vienna 2024Focus Meeting Manchester 2024ICRS World Congress Sitges 2023Focus Meeting Nice 2023Surgical Skills Doha 2023Summit Miami 2022Focus Meeting Bologna 2022Focus Meeting Thessaloniki 2022World Congress Berlin 2022
Please paste your updated bio sketch below (150-200 words)*

0/200
Please list your society involvement during the past years (max 100 words)*

0/100
I am an ICRS Fellow or Ordinary Member in good standing*

Yes
Should be Empty:

Application Form ICRS Nomination Committee Members 2025 - 2027