FSP Nominations for Resident & Fellow Committee

This questionnaire will help the FSP understand your leadership interests for serving on the Resident and Fellow Committee.

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* 1. Full Name

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* 2. Email Address

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* 3. Phone Number

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* 4. Training Status

Resident

Fellow

Please indicate what year of training you are in.

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* 5. What position are you interested in serving?

Co-chair of the Resident and Fellow Committee

Member of the Resident & Fellow Committee

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* 6. Please share why you would like to be considered for nomination.

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* 7. What other professional organizations do you belong to?

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* 8. Are you currently serving in any leadership roles?