GR Resident Fellowship Application - American Society for Radiation Oncology (ASTRO) - American Society for Radiation Oncology (ASTRO)

Astro Form Text - Form title

Government Relations Resident Fellowship Application

*Indicates required field

Name

Address

City

State

Zip Code

Phone Number

Residency Program

Year in Residency

Astro Form Text - ARROASTROMember

Are you an ASTRO/ARRO member?*

Are you an ASTRO/ARRO member?* Yes No

Astro Form Text- ARRO Committee

Are you a member of an ASTRO or ARRO Committee?*:

Are you a member of an ASTRO or ARRO Committee?* Yes No

If yes, which one(s)?

Astro Form Text - ADay participation

Have you ever participated in ASTRO’s Advocacy Day?*:

Have you ever participated in ASTRO’s Advocacy Day?* Yes No

Astro Form Text - Other ADay

Have you ever participated in another organization’s Advocacy Day?*:

Have you ever participated in another organization’s Advocacy Day?* Yes No

If yes, which one(s)?

Astro Form Text - Attend ADay Question

Are you able to attend ASTRO’s Advocacy Day, scheduled for May 19-20, 2025?*:

Are you able to attend ASTRO’s Advocacy Day, scheduled for May 19-20, 2025?* Yes No

Astro Form Text - Spend week question

Will you be able to spend an additional two days in Washington, DC (dates to be determined based on congressional calendar, ASTRO staff and GR Fellow availability)?*:

Will you be able to spend an additional two days in Washington, DC (dates to be determined based on congressional calendar, ASTRO staff and GR Fellow availability)?* Yes No

Astro Form Text - Documents

Document Uploads

Astro Form Text -Interest Letter

Letter of interest*:

Letter of interest*

Please select a file

Astro Form Text - CV

Current CV

Current CV*

Please select a file

Astro Form Text - Recommendation Letter

Letter of recommendation*:

Letter of recommendation*

Please select a file

Astro Form Text - questions text

If you have questions, please contact Cindy Tomlinson, Senior Manager for Patient Safety and Regulatory Affairs.

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Government Relations Resident Fellowship Application

Government Relations Resident Fellowship Application

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