How to ApplyApplication cycle for 2024-2025 academic year is opened now. We are accepting applications on rolling basis.Please enable JavaScript in your browser to complete this form. - Step 1 of 2Please read the application form carefully and provide the information and supporting documents. Only completed application forms can be processed for appropriate review and subsequent recommendations.The following credentials are to be attached with this application or forwarded to this office as promptly as possible:Complete transcripts of medical school recordsThree letters of recommendation addressed to the Diabetes Fellowship Program Director should be submitted. We require a letter from all program directors of any accredited United States residencies or fellowships in which you have served and from current or past medical employers and two other letters of recommendation from faculty and staff familiar with your clinical skills and/or from the dean of your medical schoolCopies of USMLE scores, ECFMG scores, FEMGEM scores, FLEX scores. Copies of ECFMG certificate, FLEX certificate.Curriculum vitae.Personal Statement (250 words): This should include your professional interests, achievements, and plans for the future. Reference should be made to special projects or scientific work you have engaged in and any notable professional accomplishments you have achieved. You may also wish to describe your personal interests, activities, and circumstances, including your family and household.Note: Must be authorized to work in the US (Unfortunately, MVHS is not able to sponsor visa at this time).Interviews are required and are to be arranged by Diabetes Fellowship program.MVHS policy is to be in full compliance with all federal and state nondiscrimination and equal opportunity laws, orders and regulations, and it will not discriminate against any person because of race, color, sex, religion, handicap, or national origin in any of its educational programs and activities.Please click next to begin.NextName: *FirstMiddleLastAddress: *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeLayoutHome PhoneWork PhonePermanent home address, if different from above:Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeCitizenship: *US CitizenForeign CitizenVisa Status:Permanent ImmigrantTemporaryJ1H1LayoutPlace of Birth:Date of Birth:Sex:EducationPlease include graduate work when filling out this portion.LayoutCollege/UniversityCollege/UniversityCollege/UniversityCollege/UniversityMedical/Osteopathic SchoolMedical/Osteopathic SchoolMedical/Osteopathic SchoolDegree/FieldDegree/FieldDegree/FieldDegree/FieldDegree/FieldDegree/FieldDegree/FieldFromFromFromFromFromFromFromToToToToToToToLayoutUSMLE Part IUSMLE Board Part IIUSMLE Board Part IIIECFMGMo./Yr.USMLE Part IMo./Yr.USMLE Board Part IIMo./Yr.USMLE Board Part IIIMo./Yr.ECFMGScoreUSMLE Part IScoreUSMLE Board Part IIScoreUSMLE Board Part IIIScoreECFMGResidency InformationResidency or Fellowship in:LayoutInstitutionInstitutionInstitutionLocationLocationLocationMemberships in profressional and/or honorary societies:LayoutBoard CertificateSpecialtyDateCertificate No.Practice HistoryAre you licensed to practice medicine in New York?YesNo*If yes, submit copy of license in "Additional Documents" area below.LayoutDate of CertificateExpiration DateLicense No.Have you ever been denied a license, permit or privilege of taking an exam by any licensing authority? If so, attach a detailed explanation.YesNoHave you ever had a license or permit encumbered in any way (revoked, suspended, surrendered, censured, restricted, limited, placed on probation)? If yes, attach a detailed explanation.YesNoHave you ever been named in a malpractice suit? If yes, attach a detailed explanation. YesNoDo you have any condition that would preclude you from performing rational judgments, reacting quickly in emergent situations or working for an extended period of time (i.e., night call) under stressful conditions without interruption? If yes, attach a detailed explanation.YesNoHave you ever been convicted of any criminal offense in any state or federal court (other than minor traffic violations)? If yes, attach statement including state and place of conviction(s) and nature of such offense(s).YesNoAttachmentsReferences:List the names and positions of those whom you have requested to write in your behalf. We require a letter from all program directors of any accredited United States residencies or fellowships in which you have served and from current or past medical employers and two other letters of recommendation from faculty and staff familiar with your clinical skills and/or from the dean of your medical school.Letters of Recommendation: Click or drag files to this area to upload. You can upload up to 6 files. Please attach at least three letters of recommendation.Curriculum Vitae Click or drag a file to this area to upload. Additional Documents Click or drag files to this area to upload. You can upload up to 5 files. Personal StatementPlease include your professional interests, achievements, plans for the future, etc...By submitting this form, you attest to the fact that you have read, and understand the instructions for the completion of this application. You certify that the information submitted on these application materials is complete and correct to the best of your knowledge. You understand that any use or missing information may disqualify you for this position or be grounds for termination in case of employment.SubmitProfessional Education at MVHSDiabetes Fellowship ProgramFacultyCurriculumDidacticsArea Attractions and HousingHow to Apply