SAVS Skills Competition Application

Admission to the program will be based on order received; giving priority to represent as many different programs as possible. The winner will receive a scholarship, graciously sponsored by Terumo Aortic, to participate in Top Gun Finals at the SCVS 2021 Symposium including travel and accommodations up to 1500 USD.

Applications Deadline: Tuesday, December 1, 2020
Applications received after the deadline will be reviewed on a space-available basis.

All fields are required.
Applicant Information
First Name: MI: Last Name:
Hospital Affiliation:
Graduation Date:
  
Title:
Office Address:
City:
State:
Zip:
Country:
Phone:
Email:
Date of Birth: (mm/dd/yyyy)
Are you a Vascular Fellow or Integrated Vascular Resident?
Yes
No
Have you had previous exposure to vascular simulation?
Yes
No
Upload Curriculum Vitae:
 

 
 
Southern Association for Vascular Surgery
500 Cummings Center, Suite 4400, Beverly, MA 01915
Phone: 978-927-8330 | Fax: 978-524-0498