SERF Application Form

Please merge all files in to ONE pdf and upload as a single document. The following must accompany your application:

1. A current copy of your curriculum vitae.

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2. A one to two page statement of interest in surgical education research, which includes:
Reason for interest in SERF Program
Involvement with the ASE
Current activities in surgical education

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3. Letter of support from Department Chair or Program Director agreeing to commit to fund the cost of fellowship participation and allow time off for travel to SERF sessions ($3000 tuition plus costs incurred for travel and lodging at the required seminars).