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FSP Nominations for Resident & Fellow Committee
This questionnaire will help the FSP understand your leadership interests for serving on the Resident and Fellow Committee.
*
1.
Full Name
(Required.)
2.
Email Address
3.
Phone Number
4.
Training Status
Resident
Fellow
Please indicate what year of training you are in.
5.
What position are you interested in serving?
Co-chair of the Resident and Fellow Committee
Member of the Resident & Fellow Committee
6.
Please share why you would like to be considered for nomination.
7.
What other professional organizations do you belong to?
8.
Are you currently serving in any leadership roles?
