2026 SpineLine's 20 Under 40 Application

Full Name (as you would like it to appear publicly, including any degrees or designations): *

Birthdate: *

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Institution Name and Location: *

Please include city, state/province, and country.

Email Address: *

LinkedIn Profile URL:

Social Media Handles:

Please include the handle and platform (eg, @spinedoc - X; @spinedoc - Instagram)

What experiences or influences led you to pursue a career in spine care? *

Who was your mentor and how did they influence your career? *

What accomplishment best represents who you are as a spine professional, and why? *

What impact do you hope your work has on patients, trainees, or the field that won't show up in a publication list or CV? *

What question, problem, or area of spine care are you most curious about right now, even if it's not yet a part of your formal work? *

How do you give back to your local or professional community in ways that matter most to you? *

Outside of work, what helps you reset or sustain yourself? *

In what ways have you been involved with NASS? *

Is there anything else you'd like the selection committee to know about your work or perspective?

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