Application Form for the ACC–Maryland–German Cardiac Society Exchange Program

Eligibility Requirements

Ideal candidates will have a passion for exploring other cultures and different clinical environments
German Candidates: Must have started or completed PGY3 year in a recognized cardiology training program in Germany
Applicants must have a passport and commit to obtaining any necessary visas at their own costs.
Apply via this form by August 15, 2026

Application Form for the ACC–Maryland–German Cardiac Society Exchange Program

Name

Please enter your name.

Degrees

Please enter your degrees.

Please enter a valid adress.

Mobile Number

Please enter your mobile number.

Field of interest/cardiology subspecialty (choose all that apply)

Coronary Disease Electrophysiology Heart Failure Prevention Valvular Disease General Cardiology

Please enter your field of interest.

Full Institution//Research Group/Division Name

Please enter the name of your institution.

Institution's City

Please enter the city of your institution.

Institution's State

Please enter the state of your institution.

In 300 words or less, why are you interested in participating in the fellowship?

Upload your CV, including publication list (Mandatory)

Maximale Anzahl erreicht

Datei hinzufügen

Akzeptiert .pdf

Upload letter of support by the head of your department or research group or program director (Mandatory)

Maximale Anzahl erreicht

Datei hinzufügen

Akzeptiert .pdf

Datenverarbeitung

Die hier angegebenen personenbezogenen Daten werden zum Zweck der Auswahl geeigneter Bewerberinnen und Bewerber sowie der anschließenden Kontaktaufnahme durch die wissenschaftliche Leitung an Dritte übermittelt. Die betroffenen Personen willigen in die Verarbeitung und Weitergabe der aufgeführten Daten zu diesen Zwecken ein.

Mandatory

Attestations

By submitting this form I attest that I:

am a member of the Maryland Chapter ACC (MDACC) or the German Cardiac Society (DGK)
will participate in the complete program including travel
will abide by the rules of the program on the dates outlined
hold a valid passport and if chosen will obtain any necessary visas
will work on a capstone/scholarly project during the fellowship, understanding it may be published
will be aware of and follow the laws of the respective countries in which I am traveling

Datenschutzerklärung

Die aufgeführten Bedingungen und die Datenschutzerklärung habe ich gelesen und erkläre mich mit diesen einverstanden.

Zur Nutzung dieses Formulars müssen Sie der Verarbeitung zustimmen.

Application Form for the ACC–Maryland–German Cardiac Society Exchange Program

Eligibility Requirements

Application Form for the ACC–Maryland–German Cardiac Society Exchange Program

Attestations

Starke Unterstützung*