1. AUPO FCC Faculty Information - Pediatric Ophthalmology

Reminder:

Once you have clicked ‘done’ you will not be able to make any edits.

For submitting multiple biosketches simply return to the ‘Pediatric biosketch form’ and repeat.

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* 1. Faculty Member Biosketch:

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* 2. Are you voting member of AAPOS?

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* 3. Previous Training and Experience

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* 4. Previous Training

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* 5. Previous Training

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* 6. Previous Training

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* 7. Faculty member - Status: (please select ALL that apply; must select at least one)

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* 8. Faculty Member - Role: (please select all educational roles filled by this faculty member; must select at least one)

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* 9. Faculty Member - Location: (please select the locations where this faculty member fulfills their role; must select at least one)

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* 10. Faculty Member - Publications in major national/international peer-reviewed journals: (please list up to 10 maximum over the last 5 years)

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* 11. Faculty Member - Research presentations at major national/international meeting: (please list up to 10 maximum over the last 5 years)

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