Get Visiting Resident Application For Fellowship Audition Rotations

This guide provides clear and detailed instructions on how to complete the Visiting Resident Application for Fellowship Audition Rotations online. Follow these steps to ensure that you provide all necessary information accurately and efficiently.

Follow the steps to successfully complete your application.

1. Press the ‘Get Form’ button to access the application form and open it in your digital workspace.
2. Begin by entering your personal details such as your last name, first name, middle name, mailing address, and phone number in the appropriate fields.
3. Fill in your date of birth and email address to ensure proper identification and communication.
4. Provide your Social Security number (SSN) in the designated field for hospital computer access.
5. Select the requested rotation from the relevant options provided, such as Pulmonary/Critical Care or Gastroenterology.
6. Indicate your first and second date choices for the desired rotation by writing them clearly in the specified sections.
7. List your educational background, including names of schools and colleges attended, years of attendance, and years of graduation.
8. Detail your internship hospital, residency program, and dates of graduation as requested in the respective fields.
9. Answer the questions regarding any prior rotations in the specialty and criminal history by selecting 'Yes' or 'No'. If 'Yes', provide additional details where prompted.
10. Contact Deborah O'Connor as instructed to discuss obtaining an affiliation agreement necessary for your rotation.
11. Compile the required documentation listed on the form and ensure it is submitted to the GME office at least one month prior to your requested rotation.
12. Provide your printed name, signature, and the date at the bottom of the application to validate your submission.
13. Keep a copy of the application for your records and submit it to Deborah O'Connor via email or fax.

Complete your application online today and ensure that you meet all requirements for a successful rotation.