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2021-2023 Fellow Application

Fellowship in Minimally Invasive Gynecologic Surgery (FMIGS)
6757 Katella Ave., Cypress, CA 90630‐5105 USA
Ph: (714) 503‐6200 • Fax: (714) 503‐6202
E‐mail: fmigs@aagl.org • Web Site: www.fmigs.org

July 1, 2021 - June 30, 2023


Fellow Application






© 2020-2021 AAGL Fellowship 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.

Program Requirements https://bit.ly/2Yg7cOi
Anti-Harassment Policy https://bit.ly/2sJipsN

Your 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, 2020.

Payment must be submitted after you have completed the application form. Once payment is submitted, no changes can be made. 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.
 
A description of the individual sites, for fellowship training, can be found at the Fellowship web page https://bit.ly/35y8aX6.
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