JOIN ICS

APPLICATION PROCESSING REQUIREMENTS

  • Current CV (Name of Medical School you attended, date of graduation and medical license, residency training, number of years of postgraduate training, present and past professional positions, membership in professional societies)
  • Certificates of Medical School completion and Board certifications
  • Three professional references (name and contact information)
  • Enrollment Fee $210.00

Contact Information

Address

Telephone Number

Fax Number

Email Address

Personal Information

Note:

Notice!

The United States section has their own membership form located on their website. Please click here to go there directly to finish your application process. Thank you!
Your Professional Specialty (Select All That Apply)(required)

References

Please list three (3) surgeons familiar with your work. References will preferably be provided by the Chair of the Surgical Department in which you work, a surgical colleague who works in your hospital or a Fellow in good standing with the ICS. All information received will be treated with the utmost regard for confidentiality.

Reference 1

Address

Telephone Number

Email Address

Reference 2

Address

Telephone Number

Email Address

Reference 3

Address

Telephone Number

Email Address

Documentation Upload

As detailed in the application rules, copies of the following documents must be received at the ICS Headquarters in Chicago before your application will be processed.

  • Your current CV (Name of Medical School you attended, date of graduation and medical license, residency training, number of years of postgraduate training, present and past professional positions, membership in professional societies)
  • Certificates of Medical School completion

If you are able to provide electronic copies of any or all the documents, please upload and submit them below. All documents must be under 10MB (10,240KB) and must be one of the following types: pdf, doc, docx, jpg, jpeg

Note: If you are unable to upload the documents, please send them via email to jennifer@icsglobal.org.

Upload Electronic Documents

Drag and drop or click to select a file.

Drag and drop or click to select a file.

Drag and drop or click to select a file.

Trouble Applying Online?

Click the link to the right to download a PDF application and to send via email. Please print and scan this document and email to max@icsglobal.org or jennifer@icsglobal.org.

PDF APPLICATION

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