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BSSH Instructional Course in Hand Surgery (ICHS) Organising Committee Member Application Form - Term February 1st 2027 to January 31st 2030

1.Full name(Required.)
2.Email address(Required.)
3.Town/City/County(Required.)
4.Are you a fellow member of the BSSH?(Required.)
5.Have you been a consultant for more than three years?(Required.)
6.Which year did you become a Member of BSSH?(Required.)
7.Plastic or Orthopaedic Specialty?(Required.)
8.Have you been a part of any BSSH committees or working groups?

Please list membership with dates.(Required.)
9.Have you been a part of any non BSSH committee or working groups that would be relevant to this role?

Please list membership with dates.(Required.)
10.How many BSSH Instructional Courses have you attended?(Required.)
11.How many BSSH Scientific meetings have you attended in the last 5 years?(Required.)
12.Particular area of interest or expertise in hand surgery?(Required.)
13.Please describe any teaching experience you may have?(Required.)
14.Please describe any lecturing experience you may have?(Required.)
15.Please let us know why you would like to join this Committee?(Required.)
16.Please list any other skills and/or experience you have that would be beneficial to the ICHS Committee.(Required.)
17.Do you have any suggestions to improve the course structure and/or format?(Required.)
18.Do you have the time available for this commitment? Please list any other significant commitments during the term (with dates) – e.g. clinical/medical director, roles with other societies or associations?(Required.)