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Fellowships & Faculty Development: Sports Medicine Fellowship

Thank you for your interest in the IU Department of Family Medicine Sports Medicine Fellowship program and covering sports events in the Indianapolis area. Please fill out the form and let us know what type of information we can send to you about our program. Privacy is guaranteed--your e-mail address will not be sold and/or distributed. *Indicates a required field.


 
Last Name*

First Name*

Yes, I am interested in covering local sports events in the Indianapolis area*

No, I am not interested in covering local sports events and would like additional information only*

E-mail*

Telephone* 

Pager

Yes, I am a medical student* --> if yes,
      --> year of graduation

Yes, I am a resident* --> if yes,
     --> residency program
     --> discipline
     --> year of graduation

Additional Comments/Questions?*