Get University Of Iowa Hospitals & Clinics Mh01279 2016-2025

Filling out the University of Iowa Hospitals & Clinics MH01279 form is an important step in applying for the Neuro-Ophthalmology Fellowship. This guide provides clear, step-by-step instructions to help you navigate the form efficiently and accurately.

Follow the steps to complete your application smoothly.

1. Click the ‘Get Form’ button to access the necessary application form and open it for editing.
2. In the first section, indicate the position you are applying for by selecting 'Fellowship' and specifying the specialty as 'Neuro-Ophthalmology'.
3. Next, enter the training start date in the designated field.
4. Provide your full name in the order indicated, including your last, first, and middle names, along with your SF Match Number.
5. Fill in your present and permanent addresses in the respective sections of the form.
6. Enter your phone numbers: provide your hospital or office phone, cell number, and home phone if applicable.
7. Indicate your country of citizenship. If you are not a US citizen, select the type of visa you hold and ensure to attach a copy of your green card if applicable.
8. Enter your Iowa Medical License Number, which is mandatory for physicians engaged in patient care.
9. Submit your educational background details, including the institution name, dates attended, the degree received, and field of study.
10. Indicate whether you are certified by the Educational Commission for Foreign Medical Graduates (ECFMG) and provide your ECFMG certificate number and validity date. Attach a copy of the current certificate.
11. Detail your internship, residency, or fellowship, including specialty and completion date.
12. Provide information regarding your previous research experience and any publications. If you need more space, continue on a separate blank page.
13. Fill in any scholarships, prizes, or awards you have received, and list memberships in professional societies.
14. If applicable, provide details about your military experience, including branch, active duty dates, and highest rank attained.
15. Ensure you arrange for three letters of recommendation to be sent directly to the Neuro-Ophthalmology Fellowship Coordinator.
16. Prepare a current CV and a personal statement discussing your motivations for applying and career goals.
17. Once you have completed the form, sign and date it. If submitting online, make sure to send a signed hard copy via mail to complete your application.
18. Finally, save your changes, download the form, print it if necessary, or share it as required.

Complete your University of Iowa Hospitals & Clinics MH01279 form online today!