Virtual International Speaker Recruitment

The ASNR offers support to organizations seeking speakers for their educational meetings. Please submit the form below to apply to be an ASNR Virtual Educator.

ASNR International Virtual Speaker Application

This form is to be completed by ASNR members desiring to serve as ASNR virtual educators.

Name

First Last

Institution

Work Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Mobile Phone

Please submit a CV with your application in PDF format:

Max. file size: 50 MB.

Number of talks within your hospital/university:

Number of national talks:

Number of international talks:

Desired collaboration: Please indicate choice(s) from list below:

ASNR educator to participate in virtual case conference

ASNR educator to provide virtual didactic lecture

ASNR educator to serve as an international neuroradiology mentor

Please provide a list of the topics for didactic lectures or case conferences:

Preferred Dates

Start

Finish

Preferred frequency (once per year, twice per year, monthly, etc.)

Duration of engagement (single event, one year, multi-year, etc.)

Any other information you would like us to consider?

Virtual International Speaker Recruitment

ASNR International Virtual Speaker Application

American Society of Neuroradiology proudly includes: