For each trainee or non-physician member at your institution, you will need to provide the full name, email address, and designation as either a trainee or a non-physician. (With unlimited slots for trainees and up to 5 non-physician spots for standard institutional membership/10 for sponsoring institutions). Please provide a administrative or financial representative email address in this application, as faculty physicians cannot provide the same email address for institutional membership as for their individual membership. To see a sample of the form you will complete, please click here. https://pncrg.wildapricot.org/resources/Documents/PNCRG%20Institutional%20Membership%20List%20Fillable%20Form.pdf
When registering, you may complete multiple forms for additional members, as needed.