Neuro-Opthalmology Fellowship Program Application
(May be the Fellowship Director or administrative staff, but should be the primary system user who will work with this program application.)
This will be the UserID for this account and address of record for future communications. It MUST match the Fellowship Director's email address entered in the application and the email address used as the electronic signature.
Passwords are case-sensitive, must be between 6 and 12 characters in length, and should include both letters and numbers. Allowable characters are a-z, A-Z, 0-9, and _ (underscore).
Must match the requested password entered above.
An entry for all fields is required.
Please enter the total number of positions you are applying for and would like to have approved as AUPO FCC Compliant position(s)
Please enter the total number of ALL faculty who will work directly with the AUPO FCC Compliant positions in your fellowship program.
Is your program affiliated with an ophthalmology residency / will you have a letter of support from the Department Chair?
Association of University Professors of OphthalmologyFellowship Compliance Committee
655 Beach Street San Francisco, California 94109
Telephone: (415) 561-8537 | Fax: (415) 561-8531 | Email us
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