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Residency Fair Registration Form

 
1 Start 2 Complete

The VCOM–Auburn Residency Fair will be held on Friday, November 9, 2018
Registration deadline is Friday, October 26, 2018

The VCOM–Virginia Residency Fair will be held on Friday, March 1, 2019
Registration deadline is Friday, February 15, 2019

The VCOM–Carolinas Residency Fair will be held on Friday, March 22, 2019
Registration deadline is Friday, February 22, 2019

Part 1: Hospital/Residency Information
List specialties represented or emphasis your hospital provides.
Part 2: Attendee Information
Please list name and email for each attendee.
Attendee 1
Attendee 2
Attendee 3
Attendee 4
Attendee 5
Part 3: Display Requirements
NOTE: Due to space limitations, we are only able to offer one 5' table per discipline for each program. If you require more space, email VCOM–Carolinas at hospitaldaycc@carolinas.vcom.edu or VCOM–Auburn at hospitalday-auburn@auburn.vcom.edu to make other arrangements.
Please specify your table needs. All submissions for tables are final; it will not be possible to change these after initial selection. Tablecloths not provided.
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