EUROSPINE 2024 Nominations

Application Form

Dear EUROSPINE Member,

Thank you for taking the step in applying for a position at EUROSPINE.

The available positions are as follows:

Education Council Chair ELECT *Open only to previous and current EduCom members
4 Education Committee Members
Membership Committee Member
3 Patient Line Committee Members
Pre-Day and Lunch Symposia Committee Chair *Open only to previous and current Pre-Day and Lunch Symposia members
2 Pre-Day and Lunch Symposia Committee Members
President-Elect *Open only to previous and current ExCom members
4 Programme Committee Members
Research Council Chair Elect *Open only to previous and current Research committee members
Secretary
Treasurer

This online form serves for submission of your application to a EUROSPINE position.

Kindly fill the form and upload files in PDF, DOC, DOCX, which are supported. File size limit is 16MB.

As a valued member and now, potentially a volunteer leader, you are very important in shaping our society. Your contributions are much appreciated!

Best wishes,

Marco Teli

Nominations Committee Chair

EUROSPINE Past President

On behalf of the 2024 Nominations Committee Members

Sabrina Donzelli, Marisa Gandia, Frank Kandziora and Christoph Siepe

*For further queries, please contact Julie-Lyn Noël at noel@eurospine.org

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* 1. Enter your first name.

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* 2. Enter your last name.

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* 3. At what email address would you like to be contacted?

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* 4. Please indicate the position you are applying for:

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* 5. Please describe your nomination.

Self nomination

Nominated by a EUROSPINE officer (please specify name/names)

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* 6. Recent photograph

Please upload a recent photograph. The allowable format includes pdf, doc, docx, png, jpg, jpeg and gif. File size limit is 16MB

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

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* 7. Motivation letter

Please upload your motivation letter. The allowable format includes pdf, doc, and docx. File size limit is 16MB

PDF, DOC, DOCX file types only.

Choose File

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* 8. Curriculum vitae

Please upload your up to date CV. It will be very helpful if you include previous EUROSPINE participation in all activities and committees. The allowable format includes pdf, doc, and docx. File size limit is 16MB

PDF, DOC, DOCX file types only.

Choose File

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* 9. Please briefly describe your previous engagement with EUROSPINE and/or other peer societies. Describe your function and how you have contributed to that position.

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* 10. Other supporting documents

Please upload other supporting documents for example recommendation letters. Please combine them in one file. The allowable format includes pdf, doc, docx, png, jpg and jpeg. File size limit is 16MB

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

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* 1. Enter your first name.

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* 2. Enter your last name.

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* 3. At what email address would you like to be contacted?

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* 4. Please indicate the position you are applying for:

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* 5. Please describe your nomination.

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* 6. Recent photograph

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* 7. Motivation letter

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* 8. Curriculum vitae

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* 9. Please briefly describe your previous engagement with EUROSPINE and/or other peer societies. Describe your function and how you have contributed to that position.

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* 10. Other supporting documents

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* 11. Thank you very much! Please share any other comments or feedback you have regarding the EUROSPINE nominations and application.

* 11. Thank you very much!
Please share any other comments or feedback you have regarding the EUROSPINE nominations and application.