HOW TO BECOME AN INDIVIDUAL MEMBER OF

THE COUNCIL FOR CARDIOLOGY PRACTICE

OF THE EUROPEAN SOCIETY OF CARDIOLOGY

 

 

Application should be made in writing to the Chairperson of the Council for Cardiology Practice accompanied by a written statement from two (2) members * of the Council as to the qualifications of the applicant plus a copy of the applicant’s Curriculum Vitae, including a list of 3 most recent papers published in peer-reviewed journals

 

 

* Candidates who do not have any previous contacts with the members of the Council should write directly to the Chairperson of the Council


 

 

 

APPLICATION FORM FOR INDIVIDUAL MEMBERSHIP TO

THE COUNCIL FOR CARDIOLOGY PRACTICE OF THE ESC

 

TITLE                   FAMILY NAME                         GIVEN NAMES

 

.............................................................................................................................

 

INSTITUTION/DOCTOR’S SURGERY:.................................................................

 

ADDRESS:............................................................................................................

.............................................................................................................................

.............................................................................................................................

Telephone N°:                                               Fax N°:.........................................

                         Email:.................................................................

Names and addresses of two (2) members of the Council who support your application:

NAME:.................................................................................................................

ADDRESS:............................................................................................................

NAME:.................................................................................................................

ADDRESS:............................................................................................................

PLEASE ATTACH A ONE-PAGE CURRICULUM VITAE WITH LETTERS FROM YOUR SUPPORTERS AND RETURN TO THE CHAIRPERSON

OF THE COUNCIL

P.S. A list of 3 most recent papers published in peer reviewed journals must be included (co-authorship accepted)