ACRO Mock Oral Boards Leadership Application Form
Thank you for your interest in volunteering for the ACRO Mock Oral Boards (MOB). Please complete the form below and select all positions you wish to apply for.
Applicant's First Name
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Applicant's Last Name
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Applicant's Title
Practice/Institution Name
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Email Address
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Phone Number
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Positions of Interest (Select all that apply)
Disease Site Lead - Gastrointestinal
Disease Site Lead - Gynecological
Disease Site Lead - Genitourinary
Disease Site Lead - Hematologic Diseases
Disease Site Lead - Thoracic / Sarcoma
Disease Site Lead - Head, Neck, and Skin
Disease Site Lead - Breast
Disease Site Lead - Pediatrics and Central Nervous System
Upload your CV Here
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Upload Statement of Intent (350-word maximum)
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Apply for MOB Leadership
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