SNIS E-Mentee Application

The e-mentorship program by the Society of NeuroInterventional Surgery (SNIS) is designed to empower aspiring professionals in the field of neuroendovascular medicine through a structured and interactive learning experience. This program aims to bridge the gap between emerging practitioners and experienced experts, fostering the transfer of specialized knowledge and skills.

As a mentee, you will have the opportunity to receive guidance and support from a seasoned mentor over the course of one year. Throughout this period, you will engage in real-world learning as your mentor shares procedures, providing a unique educational experience. For more details about the program and its requirements, please refer to the e-mentorship website.

Personal Information

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1. Name (Required.)

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2. Country of residence and practice (Required.)

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3. Language(s) spoken at work (Required.)

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4. Professional Background/Specialty (Required.)

Interventional Neuroradiology

Endovascular Neurosurgery

Interventional Neurology

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5. Neuroendovascular Experience (Required.)

Years in Practice in Neuroendovascular:

Years of Fellowship in Neuroendovascular:

Years Since Completing Fellowship in Neuroendovascular:

Required Documents

SNIS E-Mentee Application

Question Title

1. Name (Required.)

Question Title

2. Country of residence and practice (Required.)

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3. Language(s) spoken at work (Required.)

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4. Professional Background/Specialty (Required.)

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5. Neuroendovascular Experience (Required.)

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6. Upload Personal Statement (maximum one page): (Required.)

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7. Upload CV: (Required.)

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8. Upload One Letter of Recommendation from the Chief of Staff or Immediate Supervisor: (Required.)

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* 1. Name (Required.)

Question Title

* 2. Country of residence and practice (Required.)

Question Title

* 3. Language(s) spoken at work (Required.)

Question Title

* 4. Professional Background/Specialty (Required.)

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* 5. Neuroendovascular Experience (Required.)

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* 6. Upload Personal Statement (maximum one page): (Required.)

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* 7. Upload CV: (Required.)

Question Title

* 8. Upload One Letter of Recommendation from the Chief of Staff or Immediate Supervisor: (Required.)

1. Name (Required.)

2. Country of residence and practice (Required.)

3. Language(s) spoken at work (Required.)

4. Professional Background/Specialty (Required.)

5. Neuroendovascular Experience (Required.)

6. Upload Personal Statement (maximum one page): (Required.)

7. Upload CV: (Required.)

8. Upload One Letter of Recommendation from the Chief of Staff or Immediate Supervisor: (Required.)