USIG Sign Ups 2021

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

USIG Sign Ups 2021

Welcome! We are so excited you are here!

This form is due by Sept 5 at 11:59pm. If you are submitting this form after this date, please email Lizzy Bashian (elizabeth.bashian@osumc.edu) so there is no delay in us contacting you.

Due to COIVD-19 restrictions, we are limited in how many people we can accept for each program. Please recognize submitting late means you are not guaranteed a spot.

Name *

Email *

What is your current year? *

LOA

What USIG ultrasound have you completed? *

None

I have completed BUS.

I have completed BUS and IUS.

I have completed BUS, IUS, and AUS, but still want to be involved.

Other:

What ultrasound level would you like to sign up for? *

BUS (have completed no other ultrasound courses)

IUS (have completed BUS. must be M2 or higher)

AUS (have completed BUS, IUS. Must be M3 or higher)

I'm confused about what to sign up for - help!

I would NOT like to participate in Beginner, Intermediate or Advanced Ultrasound this year, but would like to be on the list serv for other USIG events. Check the box below if this describes you.

The sentence above describes me.

M1s only: I am interested in joining UCARE.

Yes

Clear selection

If you are interested in getting involved in a Community of Practice, what specialty(s) are you interested in?

MSK (ortho surg, sports med, PM&R, rheumatology)

OB/GYN

Internal Medicine

Anesthesiology

Emergency Medicine

ENT

Other:

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of OSU Ultrasound. Report Abuse

Forms