FoEM Leadership- SITE LEADER Interest Form

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FoEM Leadership- SITE LEADER Interest Form

Foundations of Emergency Medicine (FoEM) periodically has leadership positions or curricular development and process improvement projects that would benefit from site leader perspective and engagement. If you are interested in being contacted with opportunities as projects arise, please complete the form below.

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* Indicates required question

Email *

Your email

Full Name *

Your answer

Preferred Email Address *

Your answer

Affiliated Institution *

Your answer

Position/Experience Level *

Senior Faculty (6+ yrs)

Junior Faculty (1-5yrs)

Fellow

Other:

Anything else you'd like us to know?

Your answer

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