Dear Applicant,
Thank you for your interest in the Training Programs sponsored by the Division of Cardiology of New York University School of Medicine/NYU-Langone Medical Center. All candidates are required to utilize the Electronic Residency Application Service (ERAS). In addition, we require that you complete the brief online application below. The deadline for completing the online form is December 31, 2008. Questions should be addressed to our Program Coordinator:
Shari Smith Coordinator, Training Program in Cardiovascular Disease NYU School of Medicine 550 First Avenue, NBV 17-S-5 New York, NY 10016 Shari.Smith@nyumc.org (212) 263-6587 Last name: First name: Middle initial: Email address: Cell phone #: ERAS number: Track: Clinician-Educator Track Physician-Scientist Track: Basic Science Focus Physician-Scientist Track: Clinical Investigator Focus Degrees (check all that apply): MD PhD MPH Other (enter other degree): Undergraduate Institution: Name of Institution: From: mm/yy Until: mm/yy Graduate School (if applicable) Name of Institution: From: mm/yy Until: mm/yy Medical School Name of Institution: From: mm/yy Until: mm/yy Internal Medicine Residency Name of Institution: From: mm/yy Until: mm/yy Other Clinical Training (if applicable) Name of Institution: From: mm/yy Until: mm/yy Other Clinical Training (if applicable) Name of Institution: From: mm/yy Until: mm/yy Other Clinical Training (if applicable) Name of Institution: From: mm/yy Until: mm/yy Other Clinical Training (if applicable) Name of Institution: From: mm/yy Until: mm/yy Additional Research Training (if applicable) Name of Institution: From: mm/yy Until: mm/yy Name of Research Supervisor: Additional Research Training (if applicable) Name of Institution: From: mm/yy Until: mm/yy Name of Research Supervisor: Additional Research Training (if applicable) Name of Institution: From: mm/yy Until: mm/yy Name of Research Supervisor: Additional Research Training (if applicable) Name of Institution: From: mm/yy Until: mm/yy Name of Research Supervisor: Brief statement of career goals (less than 250 words): Publications (if applicable): Letters of recommendation You Plan to Request (at least 3): Name of recommender (#1) Institution of recommender (#1) Name of recommender (#2) Institution of recommender (#2) Name of recommender (#3) Institution of recommender (#3) Name of recommender (#4) Institution of recommender (#4) Name of recommender (#5) Institution of recommender (#5) Name of recommender (#6) Institution of recommender (#6) Name of recommender (#7) Institution of recommender (#7)