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Urology Program Vacancy Listing Form


Level of Vacancy:
PGY1 (first year general surgery)
PGY3 (first year urology/second year urology)
PGY6 (Chief resident):

Applicants must have completed:
(e.g. one year general surgery,
one year urology, etc.)

Available When?
(e.g. July, 1999)

Name of Program:

City:

State:

Name of Contact Person:

Telephone of Contact Person:

Fax of Contact Person:

Date Submitted:

Submitted By:

Telephone Number:

Fax Number:

Additional Requirements:

Comments:

This form will be thrown out on July 1 each year. If you wish to be listed again you must fill out a new form. Do not send any other information. It will be discarded.

If you want the listing removed from the web site, please call 1-866-RING AUA (1-866-746-4282), ext. 3913 to request it be removed. All listings will be deleted each July 1.

If you want to view your listing click here.