Registration form
for the
PRESENT Courseware Residency Challenge

aka “The RUMBLE 2005”

 

Questions for the first Rumble edition of 2005
will be contributed by the faculty of the
 Dr. William H. Scholl College of Podiatric Medicine
at the
Rosalind Franklin University of Medicine and Science

 

NOTE:  if we receive more than one registration for your program, we will use the first one that we receive.  Our advice to you:  discuss among yourselves who will be your DESIGNATED RESIDENT, and have s/he register for your program.  The DESIGNATED RESIDENT should be your most responsible, senior resident.  S/he will be the one submitting your responses each week.

Program Name

 

 

  If your program name is not on the drop down list above, please type it in here  
  PROGRAM DIRECTOR 
Director First Name
 
Director Last Name
 
Director Email
 
 
Currently subscribed to PRESENT Courseware ? 
Yes       No
 

  DESIGNATED RESIDENT 

The Designated Resident is responsible for administering the PRESENT Courseware Residency Challenge at your institution. S/he will receive all email correspondence regarding the The Challenge.  Each program submits one response for each round of The Challenge, as a group.   The Designated Resident will coordinate the participation of all the residents in the program so that the performance represents the sum total of all of the talent in his/her program.

Designated Resident First Name

Designated Resident  Last Name

Designated Resident Email