Membership

KemRad membership application

Apply to join the Kemcolians' Radiology Interest Group. Responses from this form are routed to the official KemRad inbox.

Application form

Tell us how you want to get involved.

The form mirrors the previous membership form and sends submissions to kemuradiologyig@gmail.com.

Name

Institute King Edward Medical University (KEMU) Mayo Hospital Other

Year of study / practice

Contact number

Email address

Why do you want to be a part of KemRad?

Do you plan on pursuing Radiology as a future career? Yes No Maybe

Which Radiology specialties are you more interested in? Diagnostic Radiology (DR) Interventional Radiology (IR) Radiation Oncology Nuclear Medicine

Select at least one specialty.

Would you like to participate in one of the KemRad Teams? Research Team Mentorship Team Public Relations & Advocacy Team N/A

Select at least one option.

Would you like to receive opportunities at KemRad via email? Yes No