FOR VACANCIES FILLED OUTSIDE THE MATCH As a courtesy to programs and applicants, we provide a listing of immediate vacancies to be filled outside of the Match. These positions are either remaining after a match has taken place or have unexpectedly become available due to a program's new funding availability or because a candidate can no longer fill the position. In any case, the program must contact us to list the vacancy. We provide this service FREE of charge to programs who remained with unfilled positions after offering them through the Match. Otherwise, there is a $100 fee for this service; non-Match Partcipants will automatically be billed for this service. All listings will be posted for 90 days. If you wish to continue listing after 90 days, you must submit a request in writing to our office via mail, e-mail or fax. INSTRUCTIONS: In order to post an immediate vacancy, programs must complete and submit the following form online. Once we receive your request, we will process and post the vacancy within five (5) business days. You will receive a confirmation of your listing via email within 24 hours of posting. If you are not a current Match Participant you will automatically be billed for this service. To report problems with this form, please send a message to vacancy@sfmatch.org. * Indicates a required field.
PROGRAM INFORMATION
MATCH NO.:	(e.g. 531.23; Required for Match Participants)
*PROGRAM NAME:	(e.g. Stanford University) This is the name that will appear at the top of your vacancy.
*SPECIALTY:	SELECT ONE ==== RESIDENCY ==== Neurology Child Neurology Neurological Surgery Ophthalmology Otolaryngology Plastic Surgery ==== FELLOWSHIP ==== Spine Surgery Craniofacial Surgery Facial Plastic Surgery Mohs Micrographic Surgery Neurological Surgery Fellowship Neurology Fellowship Ophthalmology Fellowship Otology / Neurotology Pediatric Otolaryngology Plastic Surgery Fellowship
SUBSPECIALTY:	ONLY applicable for some FELLOWSHIP positions.
POSITION INFORMATION
*POSITION TYPE:	SELECT ONE Pre-Residency Fellowship Residency beginning at the PGY-2 level Residency beginning at the PGY-3 level Adv. Residency beginning at the PGY-4 level Adv. Residency beginning at the PGY-5 level Adv. Residency beginning at the PGY-6 level Post-Residency Fellowship (clinical) Post-Residency Fellowship (research) Post-Residency Fellowship (clinical + research)
*START DATE:
What are the prerequisites necessary to begin training at this level and at your program?
*Are you receptive to foreign applicants? Yes No If YES, what special/additional requirements should these applicants be aware of?
Briefly describe additional features of your program and/or provide more information about this position. (LIMIT: 100 words)
CONTACT INFORMATION
Complete all of the contact information requested below. If you do not want your program's phone, fax, email, or address information listed on the vacancy listing, please select the box entitled "DO NOT LIST" next to appropriate box.
*CONTACT PERSON:
*TITLE:
*PHONE:	DO NOT LIST!
*FAX:	DO NOT LIST!
*EMAIL:	DO NOT LIST!
WEB SITE:
ADDRESS:	DO NOT LIST!
*What documents do you require from applicants? (Check all that apply.)
COMPLETE CAS Application (only applicable for residency positions) Individual Program Application Form (applicant must obtain directly from your program) Cover Letter CV or Resume Personal Statement Letters of Reference     Total #: Up to ... 2 letters    3 letters    4 letters    5+ letters US-MLE Scores     Submit Score Report for ... Step I   Step II   Step III ECFMG Certificate (foreign graduates only) College Transcripts Medical School Transcripts Other:
*How would you like potential applicants to submit these documents? (Check all that apply.)
	E-mail    Fax    Mail
Additional comments or special instructions?

By submitting this form, you hereby certify that the information contained in this form is true and correct. You agree to contact SFMatch as soon as the position has been filled. You understand that after 90 days your vacancy posting will automatically expire and may be removed from the web site unless you contact SFMatch. This information is being submitted by: (Include name and title.)