Candidate Acknowledgement

Candidate Acknowledgement
The office of Graduate Medical Education at Southeast Health wants all candidates to be aware of the terms, conditions, and benefits of appointment to one of its ACGME-accredited programs.
1. Resident salary structure.
2. Benefits of appointment to one of its ACGME-accredited programs.
3. Resident contract that stipulates the requirements of the successful completion of a background check after the Match but prior to beginning the program.
4. Eligibility Selection and Appointment policy that stipulates the requirements for licensure and visa status.
Signature below indicates the candidate has reviewed and understands the information provided.
Applicant Name:*

First NameLast Name
Applicant Signature:*

Clear
Date:*

MonthDayYear
Should be Empty: