During the application process a 1-Year Surgical Tally and Surgical List for the Fellowship Director (FD) will be required (template provided). Please click here to download the template (MS Excel spreadsheet format). Save the template on your system, complete it, convert into a PDF and save the PDF file on your system. Provision to upload the PDF will be found in Section 4 of the application on the "Faculty Roster and CV Uploads" page. ONLY PDF files will be accepted. Do not attempt to upload the template file. There will be an additional opportunity to download the template file on the "Faculty Roster and CV Uploads".
(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.
Show password
Password Requirements
Must match the requested password entered above.
An entry for all fields is required.
Please enter the total number of ALL faculty who will work directly with the AUPO FCC Compliant positions in your fellowship program. Faculty includes:
