2025 FMM Residency Showcase Exhibit Application

The residency fair will be on Saturday, September 13 only.

Exact time TBD.
Location is NIU Naperville and the ballroom is a very limited space. Please do not bring large displays. Your power is in your people!

Each exhibit booth is $900 and includes one free conference registration for your program. We encourage as many of your program's faculty and residents to register for the conference and attend the sessions and networking events. Each additional registrant will get a discounted rate.

Each exhibit will include a table and two chairs, no pipe and drape.

Two related programs may share one booth and split the fee, but will need to purchase one additional registration.

Payment is due by August 11 or the booth will be reassigned to a program on the waitlist.

Booths will be assigned on a first come first served for fully paid exhibits, with a priority on keeping state's programs near each other. Credit card payment with your application is strongly recommended.

If you have any questions about registration, please call Ginnie Flynn at 773-754-1185 or email gflynn@iafp.com.
Residency Program Primary Contact
First Name*
Last Name*
Title*
Residency Program Name as it should be listed *
ACGME Number*
Program Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Website*
Primary Contact Email Address*
Phone Number*
Program's public email address*
example@example.com
Program Director's Name, if not the primary contact listed above (so we can invite them to the PD meeting)
Program Director's Email
example@example.com
Does your program offer J-1 Visas?*

YesNoCase by case basis
Does your program interview/consider international students?*

YesNoCase by cases basis
You can provide any additional details for International students here
Please provide 1-2 sentences summarizing your program*
List any Fellowships offered at your institution or input "None"

About your participation
Check the options here and then you can pay by credit card below. If you need an invoice emailed please check that box and complete the field about billing instructions*

Residency Showcase booth at $900Please email me an invoice, I cannot use the CC processor belowWe will share our booth with another program (additional registration $200)
Do you require electricity at your booth*
If you are sharing a booth, please list the other program's official name here
Second program
Please list the name of the 1 representative who will use the free registration, or TBD if you are not sure. You can submit that person's name via email to gflynn@iafp.com by August 15*
Any additional information for billing purposes, such as the person responsible for payment, if not using the Pay by Credit Card Option:
Email Invoice to:
example@example.com

Credit Card Payment

USDTotal payment

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Should be Empty: