World Association of Lebanese Neurosurgeons

FELLOWSHIP HOSTING

This form is to be filled by WALN members who are willing to host awardees of the WALN Traveling Fellowship Awards. There is no financial commitment from the host. This will help our candidates make the appropriate choice of the fellowship that will best serve their needs.

Contact Information:
First Name: Middle Initial: Last Name:
Address: Phone:
Fax:
City: State: Zip: Country:
E-Mail: Pager:
Preferred Contact Method:

Fellowship Information:
Fellowship Duration (months): Type Subspecialty:
Eligible Candidates: Nature (if clinical):
Assisted Candidate Housing: Monthly Cost of Housing (estimate):
Additional Information or Comments:

Already a host? Click here to update your information.

Changed your mind? Click here.

DISCLAIMER: Every effort has been made by the authors to provide accurate, up-to-date information. However, the knowledge base is dynamic and errors can occur. By using the information contained herein, the viewer willingly assumes all risks in connection with such use. Neither the author nor WALN shall be held responsible for errors, omissions in information herein nor liable for any special, consequential, or exemplary damages resulting, in whole or in part, from any viewer's use of or reliance upon this material.