Get Fellowship Training Application

Filling out the Fellowship Training Application online is a straightforward process that allows you to apply for various fellowship programs. This guide offers detailed, step-by-step instructions to help you complete the application accurately and efficiently.

Follow the steps to successfully complete your application.

1. Click ‘Get Form’ button to obtain the form and access it for completion.
2. Begin by selecting the program you are interested in applying to on the first page of the application. Choose one option from the provided list.
3. In the personal data section, fill in your first and last name, middle initial, address, city, state, and zip code. Provide your home phone, cell phone, email, birthdate, place of birth, country of citizenship, and social security number.
4. Next, move to the education section. Document your undergraduate studies by entering the name of the institution, its location, your area of study, start date, end date, and degree awarded. Repeat this for all undergraduate institutions attended.
5. Proceed to the graduate studies section and provide the same details for any graduate institutions attended.
6. In the medical school section, complete the same fields for every medical institution you have attended, including the name, location, area of study, start and end dates, and degree awarded.
7. Fill out the post-graduate training section, detailing your internship, residency, and any applicable fellowship experiences with the corresponding program names, specialties, locations, and dates.
8. Report your COMLEX scores by entering your three-digit examination scores for Step I, Step II CE, Step II PE, and Step III.
9. Include ACOI in-service exam scores, if applicable, for OGME 1, OGME 2, and OGME 3.
10. Complete the licensure section by disclosing the states you have licensure in, their dates of issue, expiration dates, and license numbers.
11. Respond to the questions regarding any licensing denials, training program disciplinary actions, license encumbrances, or malpractice suits. Attach additional explanations if you answered 'yes' to any queries.
12. In the certification section, list your board certifications and the years they were awarded.
13. Highlight any research and honors you wish to include in the application.
14. Finally, provide contact details for your references by entering their names, positions, relationships to you, phone numbers, and emails. Ensure you obtain original letters of recommendation.
15. Review all filled sections for accuracy. Save changes, and choose to download, print, or share your completed form as required.

Start filling out your Fellowship Training Application online today to take the next step in your professional journey.