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University of California - ACVR

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Attachments:<br />

Please attach the following documents to the application if applicable. Please mark box to<br />

indicate which documents are included. Please list any additional documents attached in support<br />

<strong>of</strong> this application.<br />

Attached? Documents<br />

No change Twenty-four (24) month calendar <strong>of</strong> resident’s activities - Required<br />

No change CV - <strong>ACVR</strong>-RO Diplomate - Program Director(s) - Required<br />

No change CV - <strong>ACVR</strong>-R Diplomate(s) - Required<br />

Attached CV - ACVIM-O Diplomate(s) Dr. Rebuhn and Dr. Skorupski- Required<br />

No change Syllabi <strong>of</strong> formal course work included in the training program - Required<br />

No change Credentials <strong>of</strong> instructors providing formal course work - Required<br />

No change Forms used in resident evaluation - Required<br />

N/A Letters <strong>of</strong> agreement from cooperating institutions - Required

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