SIR Fellowship Recommendation/Nomination Form

| Resume a previously saved form
Resume Later

In order to be able to resume this form later, please enter your email and choose a password.

Password must contain the following:
  • 12 Characters
  • 1 Uppercase letter
  • 1 Lowercase letter
  • 1 Number
  • 1 Special character
Introduction

FSIR Sponsor,

Your letter is a very important component of the Fellowship candidate’s nomination package. As a general rule, more weight will be given to letters that provide substantial information as opposed to brief or pro-forma letters. Sponsors should be encouraged to provide detail in their letters of your accomplishments. 

Within this form, you will be able to type your letter directly into the form or upload an electronic version of your letter (Word or PDF).  You will be able to save your progress and review your form before submitting. 

As a reminder, the updated requirements for Fellowship are below and the Fellowship Criteria policy (approved in April 2020) can be viewed on this page.

Fellowship Eligibility:

As outlined in the Society of Interventional Radiology Bylaws (approved April 2020), Fellows shall be members of the Society who have made a significant contribution(s) to the field of Interventional Radiology and to the Society.  There will be no limit on the number of Fellows. The requirements for consideration of Fellowship are as follows:

  • Active Fellow candidates shall have been an Active Member (practicing IR) or Associate Member in good standing of the Society for at least eight (8) contiguous years.
  • The candidate shall have made a significant contribution to the field of Interventional Radiology as well as contribution(s) to the Society as determined by the policy set forth by the Fellows’ Affairs Committee.  When evaluating candidates for Fellowship, the Fellows Affairs’ Committee shall review the totality of the candidate’s contributions on behalf of Interventional Radiology and the Society.  Fellowship shall be awarded based on a long and consistent history of activities.
  • Individuals practicing outside of the United States shall have the option of applying as an Active or Associate Fellow based on their given membership category.
To view the complete Fellowship Criteria Policy, visit this page.

Your Contact Information




Applicant's Information


Letter of Recommendation



Save my progress and resume later | Resume a previously saved form

Contact Information