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Fall 2024 CHEST Career Fair
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Fall 2024 CHEST Career Fair
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Registration Form
Registration Form
First Name
Last Name
Phone Number
Email
Medical Profession Type
Please select
Physician (MD)
Physician (DO)
Resident
Fellow
Medical Student
Physician Assistant
Nurse Practitioner
Training Specialty
Please select
Pediatric Critical Care
Critical Care / Intensivist
General Pulmonary / Critical Care
Pediatric Pulmonary / Critical Care / Intensivist
Sleep Medicine
Academic/ Research – Pulmonary/Critical Care
Locum Tenens Pulmonary Medicine/Critical Care
Pulmonary/Critical Care Leadership
Pulmonary Medicine/ Outpatient
Other
Other, please specify
Hospital at which you trained/are training
Year completed/will complete your training
Please select
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
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1976
1977
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1981
1982
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1984
1985
1986
1987
1988
1989
1990
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1998
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2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
Years of Professional Experience
Please select
0-2 years
3-5 years
6-10 years
10+ years
Citizenship Status
Please select
U.S. Citizen
Green Card Holder
E-3 Visa Holder
H-1 Visa Holder
J-1 Visa Holder
J-2 Visa Holder
O-1 Visa Holder
V-1 Visa Holder
EAD Permit
TN Visa Holder
US Visa Sponsorship Needed
Geographic Preference
Please select
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Nova Scotia
Ontario
Prince Edward Island
Quebec
Saskatchewan
Northeast
Southeast
Midwest
West Coast
Mountain West
Southwest
Other
Other, please specify
Currently Licensed in
Please select
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Nova Scotia
Ontario
Prince Edward Island
Quebec
Saskatchewan
Northeast
Southeast
Midwest
West Coast
Mountain West
Southwest
Other
Other, please specify
Anything else you would like to share about yourself?
CV or Resume
Opt-in to Candidate Database:
Please select
Yes
No
Check “opt-in” to allow the profile information submitted for the career fair to be used to register you for our candidate database. This will allow you to receive relevant job opportunities via email and make your resume searchable by employers.
Actively Job Searching?
Please select
Yes
No
Mention Time Frame, if yes:
Please select
1 to 2 Months
3 to 6 Months
6 Months to 1 Year
1 Year or More
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