All sections of the form applicable to the applicant must be completed in order to be accepted for review. For items that do not apply, indicate N/A in the space provided. If any requested information is not available, an explanation should be provided in the appropriate place on the form.
Once the form is complete, send one final copy electronically to the FMIGS office at
fmigs@aagl.org. The applicant is responsible for the accuracy of the information supplied in this form. Incomplete applications, including incorrect or missing signatures, will not be accepted.
After submission, no additional changes will be accepted.
The initial application should be submitted simultaneously with the application fee of $350.00.
The application fee is non-refundable. Deadline to submit application is July 1, 2016.
It is important to review the program requirements prior to completing the application.
A list of programs participating in the match will be provided, once we receive your complete application. You may select 1 program or all the programs listed. Your completed application will be forward to the programs selected. The programs will review your application and will be instructed to contact you directly to inform you if they would like to schedule an interview. Please note that most programs will start the interviews after the July 1st deadline.
Description of the individual sites for fellowship training can be found at the Fellowship web page
www.fmigs.org.
The following documents must be included with your application:
- Digital Photo
- Curriculum Vitae
- A minimum of 2 Reference Letters – Your letter writers must submit their letters directly to the Fellowship office by fax (714) 503-6202 or e-mail: fmigs@aagl.org. A minimum of two reference letters must be received to process this application. Letters should be addressed to Program Director or To Whom It May Concern.