Skip survey header

2020-2022 Fellow Application


Fellowship in Minimally Invasive Gynecologic Surgery (FMIGS)
6757 Katella Ave., Cypress, CA 90630‐5105 USA
Ph: (800) 554‐2245 or (714) 503‐6200 • Fax: (714) 503‐6202
E‐mail: • Web Site:

July 1, 2020 - June 30, 2022

Fellow Application

© 2019-2020 FMIGS Fellow Application All Rights Reserved

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 or as an attachment.

Before completing this application, please review the following FMIGS Documents available on the webpage

Program Requirements
Anti-Harassment Policy
Grievance Policy 

Please submit payment after you have completed the application form. Once you press the submit button you will not be able to access the form online for any additional changes. 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. Please review your application before submission. After submission, no additional documents nor 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 June 14, 2019.
A description of the individual sites, for fellowship training, can be found at the Fellowship web page