APPLICATION INSTRUCTIONS

To submit this application, you will need to:

Include a brief written statement about your professional goals, and specifically, why you are seeking a Fellowship in Transfusion Medicine at NYBCe.
Upload a current Curriculum Vitae.
Upload a copy of your Medical Diploma.
Upload results of your medical licensing exams (Step/COMLEX).
Upload a copy of your ECFMG certificate, if applicable.

A completed application also includes:

Three letters of recommendation, one of which should be from the director of your current program, if applicable (these can be sent separately from this online application).

(If you have any questions about this application or problems submitting, please reach out to us at education@nybc.org.)

NYBCe TRANSFUSION MEDICINE FELLOWSHIP APPLICATION

Prospective fellowship year.

First Name

Last Name

Street Address

City

State

Zip Code

Country

Telephone Number

Email

Current Institutional Affiliation

Institution Name

Street Address

City

State

Zip Code

Country

Are you legally authorized to work in the U.S.?

YesNo

Do you require visa sponsorship?

Yes (please note: NYBCe is not able to sponsor visas at this time)No

Do you currently hold an active, unrestricted license to practice medicine in New York State?

YesNo

If not, are you eligible to apply for such an unrestricted license (including satisfying applicable U.S. residency requirements for such licensure)?

YesNo

SUPPORTIVE DOCUMENTS

Please upload the following documents:

A brief (1 page) written statement about your professional goals, and specifically, why you are seeking a Fellowship in Transfusion Medicine at NYBCe.

A current Curriculum Vitae.

Results of your medical licensing exams (Step/COMLEX). (You may upload more than one document, if applicable.)

A copy of your Medical Diploma.

A copy of your ECFMG certificate, if applicable.

LETTERS OF RECOMMENDATION

This application will be complete when three letters of recommendation have been received, one of which should be from the director of your current program, if applicable.

Letters of recommendation should be confidentially sent to: Dr. Eric A Gehrie, Program Director at education@nybc.org.

Please list your references below.

Reference #1: Name

Reference #1: Email

Reference #2: Name

Reference #2: Email

Reference #3: Name

Reference #3: Email

ATTESTATION AND SIGNATURE

I hereby certify that the information I have provided here is true, accurate, and complete.

Applicant's Signature:

Date (Day/Month/Year):