CURA - Class of 2019 Program Interest Form

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The CURA Program (Connecting and Uniting Residents and Alumni) pairs Georgetown medical alumni with recent School of Medicine graduates as they begin their residencies in hospital centers across the nation.

Please complete the form below to become a CURA Participant for 2019

First Name *

Last Name *

Georgetown Graduation Year *

Email Address *

Phone Number *

City *

State *

Hospitals: Please list all of the hospitals you are associated with. *

Specialty *

Please select all that apply: *

I am interested in one-on-one mentorship

Required

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