Evaluation Form

AMERICAN COLLEGE OF SURGEONS
Division of Education

Minnesota Surgical Society
a chapter of the ACS

Region V COT Conference
December 3, 2021
Minneapolis, MN

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* Name

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* Choose One

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* Email Address

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* Are you a member of the American College of Surgeons?

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* ACS Membership ID

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* Choose One

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* Number of years in practice (optional)

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* Specialty (optional)

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