Get In Spd Nancy Esterly Visiting Lectureship Application Form 2021-2025

Filling out the IN SPD Nancy Esterly Visiting Lectureship Application Form online is an important step in securing expert lectureship opportunities. This guide will walk you through the process, ensuring you provide all necessary information clearly and accurately.

Follow the steps to complete your application successfully.

1. Click the ‘Get Form’ button to access the application form and open it in your preferred digital editor.
2. Begin by entering the name and full address of your institution. Ensure that the information is complete, including any required identifiers such as state and zip code.
3. Provide your name and email address as the individual completing the application. This information is essential for communication regarding your application.
4. Indicate the total number of dermatology residents at your institution in the designated field.
5. Enter the total number of other medical or non-dermatology residents and support staff in the appropriate section.
6. Fill in the contact information for the Department Chairperson and the Residency Program Director, including their names, phone numbers, and email addresses.
7. Describe the educational needs to be met by the Visiting Professor. You may expand this on an additional page if necessary, but ensure to highlight specific topics of importance.
8. Detail any existing pediatric dermatology resources at your institution. This might include information about affiliated experts or specialized resources.
9. List the names and institutional affiliations of up to three preferred Visiting Lecturers in order of preference.
10. Outline the anticipated format of the visit along with a structured program schedule. You have the option to expand this on a separate page if needed.
11. Provide your preferred dates for the visit in the allocated fields.
12. Include a detailed timeline for the lectureship visit, covering lectures and mentorship time.
13. After completing all sections, review the form for accuracy, then save your changes, download or print the application, and submit it to the provided contact address.

Complete your application online today to take the next step in enhancing your educational programs.