ESGAR Summer School, July 6

ESGAR Summer School, Valencia, Spain July 6 – 10, 2026
E-mail*
example@example.com
Your Name*

TitleFirst NameLast Name
Date of Birth*

DayMonthYear
Date
Gender

MaleFemaleN/A
Profession
Address*

Hospital

Department

StreetZip Code

CityCountry
I am a :*

Resident (training years 1-3)Resident (training years 4-5)Board certified radiologist (> 3 years within board certification)
I confirm that I am an ESGAR member in good standing*

Junior MemberActive MemberCorresponding Member
Please provide a short motivation (+/- 300 words maximum) why you would like to be considered for the Junior Esgar Summer School 2026*
Do you prefer a single or a double room?*

I am o.k. with sharing a twin bed roomI would prefer a single room (surcharge € 300.00 ), but if space is limited, I would also share a twin roomI will only be able to attend if I can get a single room (surcharge € 300.00)
Please upload a copy of your CV:*

Cancelof
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ESGAR Summer School, Valencia, Spain July 6 – 10, 2026