IICN Membership form

Application for membership of the IICN is open to medical doctors who practise in the neuroscience disciplines.

Prospective members are asked to submit an application to the IICN. The form is below.

Existing members may propose an applicant for membership by sending an email or a letter to the IICN office. Alternatively, if the proposer is a member of the Board of the IICN, they may propose the new member at a Board meeting. New applications can also be proposed at General Meetings of the IICN.

The annual Membership fee for consultants and equivalent grades is currently €100. For Specialist Registrars, Registrars and other trainee grades the annual fee is €75.

The form below is to be filled out by someone who has been accepted for membership of the IICN.

For queries please contact the IICN at info@iicn.ie.


 

I hereby apply to be a member of the Irish Institute of Clinical Neuroscience (IICN).

In the event of the company being wound up I hereby agree to contribute to the assets of the company a sum of money not exceeding €6.35.

(Please note that to complete this form you will be asked to upload a short CV.)


The information provided in this form is retained by the IICN for the purposes of maintaining a membership database and to inform members of events, news, grants and other matters of interest. The name, neuroscience discipline and institutional affiliation(s) of all members is posted on the IICN website (email address or telephone number will NOT be posted on the website).

The IICN pays annual fees for members to three international neuroscience organisations, the European Academy of Neurology (EAN), World Federation of Neurology (WFN) and European Union of Medical Specialists (UEMS), on the basis of the number of members of the IICN. The name, position, contact email and postal address of each member are provided to these organisations by the IICN to allow access to the privileges of these organisations for members (journal access, reduced registration fees at meetings etc.). Please tick below to indicate your willingness or otherwise to have your information divulged to these organisations.