Applicant Information Form
for Urology Residency and Fellowship Training
(Maintained by the AUA Member Services)
Check all levels of Residency that apply
Permanent Mailing Address
Nearest Relative or Individual Always Able to Contact You:
Medical School 1
Medical School 2
Previous Residency Training
All outdated listings will be removed July 1st of each year.
If you will to be listed again you must submit a new form.