EACVI Women in multimodality imaging Community

Please submit the form below if you wish to become a member of the EACVI Women in Imaging community.

First name*

Please use only Latin characters and capitalize only the first letter

Last name*

Please use only Latin characters and capitalize only the first letter

Country of work*

Please use the English name and capitalize only the first letter

I give my consent for my first name, last name and country of work to be displayed in the community list that will be published on the EACVI Women task force web page.*

Yes

Gender

Female

Male

Other

Contact email*

Your email address will not be communicated outside the task force nucleus

I wish to receive news from the task force by email at the address above*

Yes

Comments

GDPR*

I confirm that I have read and accepted the GDPR compliance information below.

GDPR compliance information

We comply with the European General Data Protection Regulation (GDPR) 2016/679. Any personal data processed in connection with this application form will be treated confidentially and only used by: - The staff in charge of processing EACVI Women in Imaging Taskforce applications. - Nucleus members of the EACVI Taskforce Women in CVI In accordance with the law N°78-17 of January 6, 1978, amended in 2004, relating to the protection of individuals with regard to the processing of personal data, you have a right to access and rectify information concerning you, which you can exercise by contacting our data protection officer (DPO) at dpo@escardio.org.

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