ILAE - YES Registration Form - Active Member
Become an active member of YES: the Young Epilepsy Section of the ILAE!

We are a world-wide organization of young people in the early stages of a career focused on the care of people with epilepsy, and/or epilepsy research.

As active member you can participate and contribute to our work in our task forces and regional subdivisions. Internal communications work via Slack - no worries, you'll get all the information you need to join us there.

Please note that all ILAE Junior members (being < 40 years of age) are automatically part of YES. No further registration is needed.

Email address *
First name *
Your answer
Family name *
Your answer
Date of Birth *
Please note, that only ILAE junior, student, or trainee members (i.e., age < 40 or still in training) qualify as regular YES members with a right to vote on the direction of YES.
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Are you in professional training? *
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Current affiliation
Your answer
Country of origin *
Your answer
Work country *
Your answer
Work region *
Specialty *
You can chose more than one option.
Required
ILAE Chapter (if applicable)
Your answer
How did you hear about YES?
Your answer
Which Task Force would you like to participate in? *
You can chose more than one option.
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Privacy Policy *
Please state that you have carefully read and understood the ILAE Privacy Policy which you can find here: https://www.ilae.org/privacy-and-security/privacy-policy. Also, please confirm that you want to receive our regular newsletter as well as occasional additional information about YES via email. You can unsubscribe from our mailing list at any time.
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A copy of your responses will be emailed to the address you provided.
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