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* 1. Please tell us about yourself:

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* 3. Division (if applicable):

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* 4. Role:

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* 5. What option are you applying for?

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* 6. Letter of Intent: In one sentence, please describe your interest in and commitment to professional development and reasons for wanting to become involved in the Academy.

Thank you for your application. We are working on a robust calendar of events for the 2024-2025 Academic Year!

Annual Fall Retreat
Friday, September 13, 2024
1-4pm

Women in Medicine Month Featuring Kerri Palamara, MD
Monday, September 23, 2024
12-1pm (EST)


Email Kelly Anastasio for more details on these upcoming events.

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