Fellowship of the Canadian Association of Radiologists (FCAR) Candidate Application

Candidate Information

Question Title

* 1. Contact Details

First Name

Last Name

Email Address

Phone Number

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* 2. Application Endorsement

Candidates must provide two letters of support from current CAR members (in good standing for a minimum of 10 consecutive years). The letters must be sent directly to the CAR's office.

Please provide the following details.

Name of endorsing CAR Member 1

Email Address

Name of endorsing CAR Member 2

Email Address

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* 3. CAR Membership

Number of consecutive years as a member of the CAR

Question Title

* 4. Contribution to and involvement with the CAR

Please list the CAR volunteer positions you have held or currently hold.

Position 1

Position 2

Position 3

Position 4

Position 5

Position 6