Young Confederation membership form

You will receive an automatic confirmation e-mail upon completion of this form.
More information about the Young Confederation can be found on the official website.

Data Protection:
A registration is not possible without collecting, saving and processing your personal data (required fields with *). This is done in accordance with the most recent legislation on data protection (EU-GDPR 2018) and solely for the purpose of organising and realising the event. Please use the following link to read the detailed data protection regulations and information obligation: CEORL-HNS data protection regulations.

Who can become member of the Young Confederation:

• ENT doctors and other ENT-related professionals who are practicing and/or are in training in Otorhinolaryngology Head and Neck Surgery and are younger than 45 years of age at the time of the application.
• The membership with the Young Confederation ends automatically at the end of the year in which the respective member turns 45.

• A copy of an ID card or passport to confirm the applicant’s date of birth.
• A document confirming that the applicant is an ENT doctor or ENT trainee. Any of the following documents are accepted:
  • Proof of membership in a Confederation subspecialty society or in the national ORL-HNS society of the applicant’s country.
  • A document in English signed by the Head of Department or supervisor of the institution/organization where the applicant works or is completing their residency/training.
  • A copy of a medical license, specialist certificate, residency certificate, or hospital/university identification document indicating affiliation with an ENT department or training program. The document must be submitted in English. If the original document is not available in English, please provide either a translated English version or a confirmation in English signed by a representative of the institution/organization.

Applicants must be in good standing with the medical regulatory authorities in their country of residence or practice. This includes holding a valid license to practice medicine (where applicable) and not being subject to any disciplinary or ethical sanctions at the time of application:

I am licensed to practice Otorhinolaryngology without restriction imposed by my employer, medical regulatory authority, or other legal authority in my home country: 

I'm enrolled in a training programme or residency and I'm allowed to practice under supervision:

I confirm that I am member of the following societies:
(The Young Confederation reserves the right to contact the societies to carry out the necessary checks).

National member societies of the Confederation:
Please check the link: https://www.ceorlhns.org/members/national-societies