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SSIM Residency Panel
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Email
*
Your email
Name
*
Your answer
Year? (MS1/2/3/4)
*
Your answer
Will you be able to attend the dinner?
*
Yes
No
Maybe
Question(s) for Residency Directors
Do you have any questions that you want the residency directors to answer? Ex. What qualities do you look for in an applicant?
Your answer
Additional Comments
E.g. Will be there but late.
Your answer
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