Site Selection and Contact Information Survey

Welcome! Thank you for applying to the PGY2 IHS residency programs.  This survey is just one step in the application process.  To see the full application process please visit www.ihs.gov/pharmacy/resident/howtoapply.  The information you submit on this survey is confidential and will only be shared with those who need to know to help track and complete the application process.  Please email questions about this survey to CAPT Kendall Van Tyle kendall.vantyle@ihs.gov

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* 1. What is your first name?

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* 2. What is your last name?

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* 3. What is your best contact phone number with area code?

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* 4. At what email address would you like to be contacted?

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* 5. To which PGY2 sites will you submit your application materials? You may check as many as you wish. You will have the opportunity later in the hiring cycle to withdraw from any sites you choose, but you may not ADD sites after the 12/20/2024 application deadline. REMINDER: you must email the list of materials from the "how to apply (PGY2 programs)" checklist to each Residency Program Director individually. The list of Program Directors and their email addresses can be found at https://www.ihs.gov/pharmacy/resident/residentdirectors/

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