MSK Alumni or Alliance/MSK Care Partner & Affiliates: Discount Request

MSK Alumni or Alliance/MSK Care Partner & Affiliates: Discount Request

FORM DISCLAIMER: This form is not for current MSK Employees

Contact Info

First and Last Name*

Please enter your full name

Degree(s)*

Please enter N/A if none

Are you a U.S. based practicing physician?*

(Please select 'No' if you're not a physician or current trainee)

Yes

Email*

Alliance/MSK Care Partner & Affiliates and Regional Partners: You must use your organization's email address to apply for the alliance discount.

Current Organization*

Current Position/Title at current organization*

Discount Request

Which MSK CME course(s) are you requesting a discount for?*

Please enter the complete course title in the field below.

Is this your first MSK CME course you'll attend this year?*

(i.e. live courses, on-demand and etc.)

Yes

Are you requesting for the Alumni, Alliance/MSK Care Partner & Affiliates or Regional Partner discount?*

*Alumni discount is applicable to former MSK employees

Select or enter value

MSK Alumni

This designation is given to physicians, dentists, or allied scientists, who completed at least six (6) months of professional (clinical) training at MSK OR served on the MSK medical staff faculty for at least six (6) months.

Enter your past employment dates at MSK*

Select your current MSK Alliance/MSK Care Partner & Affiliates affiliation*

If your organization is not listed in the drop down below, you're not eligible for this discount.

Select or enter value

Please enter your regional partner organization.*

*The 'Regional Partners' option does not apply to Hartford HealthCare Cancer Institute, Lehigh Valley Health Network, Miami Cancer Institute, and Jamaica Hospital/MediSys. If you're part of one of the four above, please select the 'Alliance/MSK Care Partner & Affiliates' option.

You MUST use your organization's email address to register.

Privacy Notice|Report Abuse