Apply for CAN-ACT

Interested in becoming a CAN-ACT member? Apply now!

We are always interested in new members who perform research or work with patients with syndromic aortopathies in the pediatric population across Canada. Fill out the form below to apply!

1 Step 1

Application Form

First Name

Last Name

Credentialsplease provide details

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Institution

Emaila valid email

Phone NumberPlease include country and/or area code as appropriate

Estimated number of pediatric patients with aortopathies seen per year?

Upload CVClick to upload

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Upload Personal StatementTell us why you want to join CAN-ACT.

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All applications will be reviewed by the Steering Committee. Membership is not guaranteed.

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