The Council of State Neurosurgical Societies shall derive membership from three sources:

A. Selected delegates from the states

1. Each State Neurosurgical Society, including Puerto Rico and the District of Columbia, will be represented in Council deliberations by selected delegates. A selected delegate must be an active member of either the AANS or CNS.    [view current state delegates]
2. The Council shall be divided into four (4) geographical Quadrants (Regions) as follows:
    

   Quadrant 1 – Northeast	Quadrant 2 – Northwest (Midwest)
   CT NJ DE NY MA PA ME RI NH VT	AK MI OR IA MN UT ID MT WA IL ND WI IN NE WY KS OH
   Quadrant 3 – Southeast	Quadrant 4 – Southwest
   AL KY PR AR MD SC DC MO TN FL MS VA GA NC WV	AZ HI NV CA LA OK CO NM TX

    

3. State Neurosurgical Society delegate representation shall be determined by a ratio of one (1) delegate per fifty (50) member neurosurgeons of that State Society. (Example: A State Society having fifty (50) or fewer member neurosurgeons will have one (1) delegate and a State Society having fifty-one (51) to one-hundred (100) member neurosurgeons will have two (2) delegates, and so on.) The list will be updated annually. State Neurosurgical Society members who are residents in neurosurgery and candidate members of the AANS or CNS, or retired neurosurgeons who maintain AANS/CNS membership, may be included in the state society membership census.
   1. Each State Neurosurgical Society will select its authorized number of delegates by whatever method of election it so chooses. Alternate delegates may be selected. The names of the duly selected delegates and alternate delegates shall be submitted annually by the State Society President to the Recording Secretary of the Council. It is recommended that the delegates be selected for terms no less than three (3) years.
   2. In the event several states unite to meet as a group and formalize this as a Regional Society, the Regional Society shall be entitled to have one ( 1 ) member for each state represented.
   3. A State Society member who is elected to the AANS Board position as Regional Director remains a voting member of the Quadrant. The State Society then has the option to select another delegate.
   4. Each State Neurosurgical Society will select its authorized number of delegates by whatever method of election it so chooses. Alternate delegates may be selected. The names of the duly selected delegates and alternate delegates shall be submitted annually by the State Society President to the Recording Secretary of the Council. It is recommended that the delegates be selected for terms no less than three (3) years.
   5. In the event several states unite to meet as a group and formalize this as a Regional Society, the Regional Society shall be entitled to have one ( 1 ) member for each state represented.
   6. A State Society member who is elected to the AANS Board position as Regional Director remains a voting member of the Quadrant. The State Society then has the option to select another delegate.
   7. Delegates selected from the States shall have vote in all matters pertaining to both the Council and in deliberations of their own Quadrant. Alternate delegates vote only if present in place of the delegate.