ICPNT EC Nominations

ICPNT Executive Committee Call for Nominations

Application Deadline: October 19, 2026, at 11:59 pm ET
To self-nominate or nominate a colleague for one of two available roles on the International Council on Perioperative Neuroscience Training (ICPNT) Executive Committee, please complete the form below.

Position Requirements:
- Active member of SNACC
- Actively involved in post-graduate medical education and training in anaesthesia and/or neuroanaesthesia
- Previous involvement within ICPNT is desired, for example, member of NPR Committee, Neuroanaesthesia Fellowship Program Reviewer, supporting educational opportunities
- For Chair of the Accreditation Review Committee, it is essential to have previous experience with reviewing ICPNT accreditation applications. Experience of reviewing re-accreditation applications is desirable
- Current or past leadership roles at employing institution, SNACC, or ICPNT.
Nominee's Name

First NameLast Name
Nominee's Email Address
example@example.com
Credentials (e.g., MD)
Current Institution
SNACC Member Since (Year)
Upload Headshot

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Services to SNACC & ICPNT (limit to no more than five (5) most significant services)
Upload Short CV (should highlight qualifications (anesthesia and neuroanesthesia training, clinical and educational experience, leadership roles and contributions to SNACC/ICPNT)

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Brief statement outlining reasons for nomination (1 paragraph)
Relevant experience in education and leadership (limit to no more than five (5))
Your commitment to diversity, equity, and inclusion (limit 50 words)

0/50
How do you envision advancing ICPNT as a member of the ICPNT Executive Committee (limit 150 words)

0/150
Anything else you would like considered in your candidacy (limit 50 words)

0/50
Name of Person Submitting Nomination

First NameLast Name
Email Address of Person Submitting Nomination
example@example.com
Should be Empty:

ICPNT Executive Committee Call for Nominations