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HCDI Alumni Speaker Series Interest Form
Name
(Required)
First
Last
Year Residency/Fellowship Completed:
(Required)
Specialty
(Required)
Email
(Required)
Are you interested in serving as a panelist for the session?
(Required)
Yes
No
Maybe (depending on date)
The discussion will focus on “From Resident to Attending: Managing the Transition”.
Which date(s) are you available to participate?
Tuesday, May 19
Thursday, May 21
Thursday, May 26
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