Incision Ukraine's Membership

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About Us:
InciSioN Ukraine is part of the International Student Surgical Network (InciSioN Global), working to advance equitable access to surgical care through advocacy, education, research, and community action. Membership is free and open to students and professionals interested in global surgery and health equity.

1. Full Name: *

2. Date of Birth (DD/MM/YYYY) *

3. Gender: *

Female

Male

Prefer not to say

Other:

4. Email address *

5. Phone number (with country code) - The country code of Ukraine is - +380, Germany - +49 , please add yours.

6. Country & City of Residence:

7. Nationality:

Option 1

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8. Current Status: *

Medical Student

Nursing Student

Public Health Student

Resident

Professional

Other:

9. Institution/University

10. Year of Study / Specialization:

11. Areas of Interest in Global Surgery

Surgical Policy & Health Systems

Surgical Workforce & Education

Access, Equity & Affordability of Surgical Care

Trauma & Emergency Surgery

Surgical Site Infection & Patient Safety

Data Science & Digital Health in Surgery

Climate Change & Environmental Sustainability in Surgery

Ethics & Human Rights in Global Surgery

Other:

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12. Preferred Involvement *

Advocacy Campaigns

Research Projects

Educational Events & Workshops

Policy Work

Fundraising & Community Projects

Social Media & Communications

Other:

13. Consent & Declaration *

I consent to my personal data being collected and stored for the purposes of membership and communication.

I agree to receive emails and updates from InciSioN Ukraine.

I confirm that the information provided is accurate and complete to the best of my knowledge.

Required

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