CREST Scholars Application

1. MD or equivalent degree

2. Completion of Training: must have passed general and/or subspecialty boards

3. Involved in the practice of reproductive medicine, including but not limited to:

i. REIs

ii. Urologists

iii. ‘General’ OBGYNs

iv. Complex Family Planning physicians

v. Internal Medicine Endocrinologists

List three individuals (name, position, institution) who will supply letters of evaluation in your application. Included in one of these letters should be a guarantee of time required to complete the program.

Please have letters emailed to:

nicole.goetz@cuanschutz.edu

Please include any of the following that apply to you in your CV: board certification, publications while in full-time clinical practice, medical/clinical director of clinical program ( e.g. IVF, family planning, etc.), full or adjunct academic appointment, clinical awards ( e.g. Patient’s Choice Award, Compassionate Doctor Recognition, Top Doctors), division director at university or non‐university hospital, invited speaker, acknowledged expertise in relevant clinical area ( e.g. robotic surgery), journal reviewer, high patient ratings (internet), teaching awards, work with relevant medically related non‐profits, or mentor awards.

Please upload bibliography to application.

Upload your 500-word Statement of Interest describing your career goals and the place of the CREST program in accomplishing those goals.