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* 1. Are you an APSA member?

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* 2. Please select your year in training during the 2013-2014 academic year (PGY, post-graduate year)

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* 3. Please select your training program.

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* 4. If you are in medical school, how do you primarily pay for medical school?

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* 5. What are the major funding sources for your research?

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* 6. Please select your TOP THREE residency programs of interest.

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* 7. What career sector do you foresee yourself in post medical training? Please check the MOST likely/highest priority one.

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* 8. What are your career intentions? Please select the TOP THREE.

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* 9. Please select the category under which your research area currently falls. (Check all that apply)

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* 10. Which of the following categories is MOST related to your FUTURE career goals?

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* 11. In terms of applying for your own funding, have you been:

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* 12. If you have applied for funding, which funding sources have you applied for:

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* 13. Have you been successful in applying for your own funding?

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* 14. Thank you for helping us advocate for your career interests. Please enter your email address here if you would like to be entered into the raffle for a $20 Amazon gift certificate.

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