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ISAPS Visiting Professor Program Application Form

Please review the application criteria and submit your Visiting Professor Program application directly on the page below

Application Form

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Yes, I give permission to store and process my data

Name of Professor Requested:

Presentation topic requested:

Meeting Venue (facility and city):

Date(s):

Number of Attendees Expected:

Please add number of Residents/Fellows who will attend and their current year of training:

Sponsoring Society:

National Secretary responsible for program oversight:

ISAPS Member completing application:

Name of primary contact:

Email of primary contact:

Upload letter or email confirming the agreement of the ISAPS National Secretary in your country:

Upload the proposed program - specify times for lectures, live surgery, open discussion:

Please describe any meeting where the Visiting Professor will also be asked to speak during his/her visit:

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ISAPS Visiting Professor Program Application Form