Webform You must have JavaScript enabled to use this form. Program Directors are invited to nominate eligible residents to participate in the September 29–October 2, 2022 STS Boot Camp. Eligible residents are first-year residents at traditional 2- and 3-year programs who start July/August 2022, and fourth-year residents at integrated programs as of July/August 2022. If more than one eligible resident is nominated, Program Directors are required to rank the list of nominees. The resident entered first below will receive registration priority; the program’s other residents will be considered based on availability. Nominations are accepted on a first-come first-served basis, and 60 spots are currently available. To nominate your program’s eligible resident(s), submit the following information. You may nominate up to 3 residents. Residency Program Name (Institution): Program Director Name: Submitter's Name (if other than Program Director): Submitter's Email Address: Submitter's Phone Number: Submit up to three resident nominations in order of preference. Resident's Name: Resident's PGY: Program Track: - Select -TraditionalI64/3 Resident's Personal Email Address: Resident's Institutional Email (if available): Add Additional Resident Resident's Name: Resident's PGY: Program Track: - Select -TraditionalI64/3 Resident's Personal Email Address: Resident's Institutional Email (if available): Add Additional Resident Resident's Name: Resident's PGY: Program Track: - Select -TraditionalI64/3 Resident's Personal Email Address: Resident's Institutional Email (if available): Leave this field blank
