Practice Opportunity Fairs - Resident Registration Form

The GBPW co-sponsors a series of “practice opportunity fairs” each year in conjunction with various Georgia GME programs to link resident physicians with hospitals and large practice networks for employment opportunities in the state.

Residents interested should complete the form below. Once submitted, you will receive a confirmation that the GBPW has received your registration and an email from the GME office with more fair information.

If you are having difficulties using this webform, please contact the GBPW by clicking HERE.

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Part 1: Resident Information
This section is information about you and your background as a physician.
Degree
Address
Citizenship
Post Grad Year
Current Georgia Medical License Type
Contractual service obligations you owe following residency training (please check all that apply)
Date Available for Practice
Part 2: Spouse Information (Optional)
This section for information about your spouse, should you wish to provide it.
Is your spouse interested in employment?
Part 3: Practice Preferences
This section is information about where and how you would like to practice medicine.
Preferred Location(s) in Georgia (please check all that apply)
Preferred Type(s) of Practice (please check all that apply)
Preferred Community Size (please check all that apply)
Part 4: Date Selection and Photo Release
Date Selection
Upcoming Fair Dates
Photographs taken at the Practice Opportunity Fair are property of the Georgia Board for Physician Workforce and may be used in future promotional materials and/or social media. Registration for this event acknowledges this potential use and serves as a photo release.
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