Critical Transitions Seminar Registration Critical Transitions Seminar: Finding Your Academic Residency, Fellowship, or First Academic Position This 1-day seminar is for senior trainees who will be applying this academic year for either a residency program, fellowship program, or first academic position. SPACE IS LIMITED. Date: September 8, 2018 Location: CUNY School of Medicine Overall Learning Objectives: 1) Align personal and professional interests and next career steps; 2) Enhance written and verbal skills to be more competitive applicant; 3) Build a team of support for career success; 4) Develop a successful financial plan for a future academic career. Registration Type (ALL SOPHIE DAVIS AND CUNY SOM CURRENT STUDENTS AND ALUMNI FREE - SELECT REGISTRATION AND MARK PAY LATER)*MEDICAL/PhD STUDENT (copy of valid ID or letter required) $25RESIDENT (copy of valid ID or letter required) $30FELLOW $50OTHER $100FACILITATOR (FREE)Are you applying for residency, fellowship or academic position?*ResidencyFellowshipAcademic PositionOtherLocation (select one):*CUNY School of Medicine, September 8, 2018Scan of ID/LetterIf necessary, please upload a scan of your valid ID or another official letter which designates your status.Accepted file types: pdf.Will pay later? IF YOU ARE BEING SPONSORED PLEASE CLICK YESYesWho will be paying for you? (Trainees and alumni of CUNY School of Medicine will receive complimentary access. This includes residents and fellows of St. Barnabas Hospital in the Bronx)*Would you like to meet with a residency, fellowship, or faculty recruiter to discuss opportunities at their institution?YesNoIf yes, which specialty are you considering or currently practicing?Name* First Last Email* BNGAP usernameIf you have not yet registered for BNGAP.org, please write "Not registered"Current Educational Level, Position and/or Title*Current Institution*Street Address*City*State*AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificOtherZip Code*CountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayNorthern Mariana IslandsOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwePhone*Race/Ethnicity (Mark All That Apply)* White Asian Native American/Alaskan Native Hispanic/Latino Black/African-American Prefer not to answer Other Specify if OtherBirth sex*MaleFemaleIntersexOtherPrefer not to answerSpecify if OtherSexual Orientation*Straight or heterosexualGay or lesbianBisexualOtherPrefer not to answerSpecify if OtherGender Identity*Female/WomanMale/ManTransfemale/TranswomanTransmale/TransmanGenderqueer/Gender nonconformingOtherPrefer not to answerSpecify if Other We are working with host institution leaders to try and identify trainees who are willing to host out-of-town participants conference participants.If applicable (your institution is hosting), are you willing to host an out-of-town participant?YesNoCriteria for hostingDo you have any specific criteria for hosting (male or female, etc)?If applicable (you are coming from another institution), would you like to receive information on staying with a host trainee or faculty member?YesNoWould you be willing and interested to carpool to the sites with other participants?YesNoYour total registration feePlease press submit to continue to Paypal to complete your registration. $0.00 PhoneThis field is for validation purposes and should be left unchanged.