(Fields marked with an * are required)Click here to view Membership Information. Membership Categories Senior Associate Corresponding Member-in-Training Membership Application Category * Membership Criteria Shall be a radiologist certified by the American Board of Radiology, The Royal College of Physicians and Surgeons of Canada, The American Osteopathic College of Radiology, or other Board or Tribunal which, in the judgement of the Executive Committee, is of equivalent rank, and have completed by July 1 following the first annual meeting after becoming a member, one of the following: Two years of fellowship training under the supervision of a WNRS Senior member, an ASNR Senior member, or a neuroradiologist possessing a Subspecialty Certification in Neuroradiology (formerly CAQ) in an institution with an approved radiology residency program. One year of formal fellowship training in neuroradiology and a second year of experience primarily in neuroradiology, and/or subspecialized area of neuroradiology under the supervision of a WNRS Senior member, an ASNR Senior member, or a neuroradiologist possessing a Subspecialty Certification in Neuroradiology (formerly CAQ) in an institution with an approved radiology residency program. One year of formal fellowship training in neuroradiology under the supervision of a WNRS Senior member, an ASNR Senior member, a neuroradiologist possessing a Subspecialty Certification in Neuroradiology (formerly CAQ) in an institution with an approved radiology residency program and three years of subsequent radiology practice during which 50% of the practice time is documented in neuroradiology. Subspecialty Certification in Neuroradiology (formerly CAQ) and four years of subsequent radiology practice during which 50%of the practice time is documented in neuroradiology. The Membership Committee and Executive Committee will consider those applicants with equivalent training and experience who trained outside the United States. Applicants for Senior membership shall be engaged in active practice of neuroradiology and/or a subspecialty of neuroradiology within the defined geographic boundaries of the Society, devoting at least 50% of the practice time (exclusive of administrative duties) to neuroradiology. Shall be WNRS Senior members in good standing who no longer practice within the defined geographic limits of the Society. They shall have the rights and responsibilities of WNRS Senior members, except for voting, holding office and serving on committees. Likewise, former WNRS Senior members may apply for Corresponding membership, if they have moved out of the defined geographic boundaries of the Society. Shall be other radiologists, or other physicians or scientists, with an acknowledged interest in, or who have made outstanding contributions to neuroradiology, or are located outside the defined geographic boundaries of the Society. Shall be individuals who are currently participating in a full-time ACCME-accredited neuroradiology training program. Indicate all the societies in which you are a member: Society(ies): ASNR ASFNR ASHNR ASPNR ENRS SENRS WNRS Membership Fee Application Fee WNRS Membership Fee (2nd Quarter) WNRS Membership Fee (3rd Quarter) Payment * Sponsor Only applicants who do NOT belong to any of the societies listed above require one (1) sponsor. Sponsor must hold WNRS Senior Member status, or the equivalent from any of the societies mentioned. Sponsor Name Institution Email Personal Information First Name * Middle Name Last Name * Email * Degree Work Institution * Department Title Work Address 1 * Work Address 2 City * State *Not-ApplicableALASKAALABAMAARKANSASARIZONACALIFORNIACOLORADOCONNECTICUTCANAL ZONEDISTRICT OF COLUMBIADELAWAREFLORIDAGEORGIAHAWAIIIOWAIDAHOILLINOISINDIANAKANSASKENTUCKYLOUISIANAMASSACHUSETTSMARYLANDMAINEMICHIGANMINNESOTAMISSOURIMISSISSIPPIMONTANANEBRASKANORTH CAROLINANORTH DAKOTANEW HAMPSHIRENEW JERSEYNEW MEXICONEW YORKNEVADAOHIOOKLAHOMAOREGONPENNSYLVANIAPUERTO RICORHODE ISLANDSOUTH CAROLINASOUTH DAKOTATENNESSEETEXASUTAHVIRGINIAVIRGIN ISLANDSVERMONTWASHINGTONWISCONSINWEST VIRGINIAWYOMINGAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon State * Zipcode * - Select -United StatesCanadaMexicoOther (Please Specify) Country * Country (Other) * Work Phone Work Fax Home Home Address 1 * Home Address 2 City * State *Not-ApplicableALASKAALABAMAARKANSASARIZONACALIFORNIACOLORADOCONNECTICUTCANAL ZONEDISTRICT OF COLUMBIADELAWAREFLORIDAGEORGIAHAWAIIIOWAIDAHOILLINOISINDIANAKANSASKENTUCKYLOUISIANAMASSACHUSETTSMARYLANDMAINEMICHIGANMINNESOTAMISSOURIMISSISSIPPIMONTANANEBRASKANORTH CAROLINANORTH DAKOTANEW HAMPSHIRENEW JERSEYNEW MEXICONEW YORKNEVADAOHIOOKLAHOMAOREGONPENNSYLVANIAPUERTO RICORHODE ISLANDSOUTH CAROLINASOUTH DAKOTATENNESSEETEXASUTAHVIRGINIAVIRGIN ISLANDSVERMONTWASHINGTONWISCONSINWEST VIRGINIAWYOMINGAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon State * Zipcode * - Select -United StatesCanadaMexicoOther (Please Specify) Country * Country (Other) * Home Phone Indicate preferred mailing address at to receive Society mailings: * Home Work Certification Certification Board -Select-ABR BoardRCPSC BoardAOCR BoardOther (Please specify) Certification * Board Certification Date * Diagnostic Radiology Institution Begin Date End Date Director Subspecialty Certification (Neuroradiology CAQ) Yes No Options * Date Neuroradiology Fellowship Institution Begin Date End Date Director Please describe your practice setting: Academic Private Other Practice Setting Select Practice Setting Practice Setting * Submit Information
