The Society of Uroradiology

Online Application for Training Members
Fields with * are required.

 
* Name:
Degree:
Date of birth:
* Training program name and type (residency, fellowship):
*Expected date of completion:
*Address:
Address 2:
*City:
*State:
*Zip Code:
Country:
* Phone:
Fax:
* Email:
SUR member name:

Who notified you of the Member in Training program?

Affidavit: I am currently in training in an ACGME approved residency or fellowship. I recognize that the Membership in Training category in the Society of Uroradiology is only valid during my training and that I will be expected to upgrade my membership status after finishing my training. (please respond yes or no)

 

Please refer any questions to: Lindsey Williford (713) 965-0566