Fellow of Society of Vascular and Interventional Neurology (FSVIN) APPLICATION

To apply for Fellow of Society of Vascular and Interventional Neurology (FSVIN) status, applicants must meet the following criteria and provide the following items in this submission process.

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1. Full Name (Required.)

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2. Contact Information (Required.)

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3. Designation (Required.)

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4. Affiliation/Institution (Required.)

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5. I am Board Certified in (specialty) (Required.)

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6. I have attended the following SVIN Annual Meetings (year) (Required.)

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7. I have been an active member of SVIN since... (Required.)

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8. Please provide a personal statement outlining your reasons for applying for FSVIN (Required.)

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9. Please upload Letter of Recommendation #1 (Required.)

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10. Please upload Letter of Recommendation #2 (Required.)

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11. Please upload your CV

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12. Please upload proof of your certification.

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