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Application for Membership – Next Generation EuroELSO

Hi all,
We are delighted to invite you to join the Next Generation “NextGen” EuroELSO Initiative, a European network of students, trainees, and early career professionals dedicated to advancing education, research, mentorship, and innovation in extracorporeal life support (ECLS). The aim of this initiative is to foster collaboration between emerging professionals and senior experts across all ELSO chapters, promoting knowledge exchange and leadership development in adult, neonatal, paediatric, surgical, nursing, perfusion, medical engineering and allied health professionals. Your participation will help strengthen the community, enhance international visibility, and support the mission of EuroELSO in developing the “NextGen” of ECLS professionals.

Point of Contact:
NextGen@interplan.de
1.Full name(Required.)
2.Country(Required.)
3.Institution/Organisation(Required.)
4.Your Email Address(Required.)
5.Phone number for WhatsApp group(Required.)
6.I confirm my eligibility for membership in the NextGen Initiative:
Designated to students, trainees, and early career professionals (individuals within five years of completing their highest academic or professional degree) and mentors (experienced professionals offering guidance to new or junior staff, aiding in career progression and work-life balance).(Required.)
7.Professional Background(Required.)
8.Current Role/Position(Required.)
9.Years of Experience in ECLS or related field(Required.)
10.Age Group(Required.)
11.Engagement and Interests within ECLS (select all that apply)(Required.)
12.Cross reference: (select all that apply):(Required.)
13.Suggestions for NextGen activities or areas of focus(Required.)
14.What are your expectations of the NextGen EuroELSO?(Required.)
Current Progress,
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