Application
| Name:_______________________________________________ |
| Date:__________________________________________ |
| Title: ________________________________________________ |
| Department:
__________________________________________ |
Contact Information
| Phone: ___________________________________ |
| Fax:
__________________________________________ |
| Mail
Stop: _____________________________________ |
| E-Mail:
________________________________________ |
| Secretary's
Name: _______________________________ |
|
Names
of Individuals to you have requested to write letters of recommendation:
You may print the application on this
web page, or
To request a copy of the application from the Office of
Curriculum, please call 713-798-7760, or e-mail mtfp@bcm.tmc.edu.
There will be a call for applications
for the Class of 2003-2004 in early summer. Final application
guidelines will be posted by late spring. Members of the Committee
for Educator Development will strive to interview applicants
within 2 weeks of receiving an application and will notify
applicants of their selection decision within 2 weeks of the
interview. We encourage interested faculty to submit their
applications as soon after the call is posted as possible
to allow ample time to plan and adjust their schedules if
they are accepted into the Fellowship.
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Baylor College of Medicine, Office of
Curriculum, M301, One Baylor Plaza, Houston, TX 77030
Phone: (713) 798-7760 Fax: (713) 798-8522 E-Mail - mtfp@bcm.tmc.edu
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