Facility's physical address
Facility's main website address
Please provide a list of the Georgia counties in which your practice, clinic, hospital, or health system has a physical location.
This individual will be your organization's main point of contact for any residents interested in practicing with your organization.
Contact person's email address
List all specialties for which you are recruiting.
Since there is no in-person component to our Practice Opportunity Day this year, door prizes will play an important role in incentivizing residents to participate. Hopefully, your organization will consider contributing a few. Examples of door prizes from previous years have included things like gift cards to Amazon or Starbucks, gift baskets, or even branded merch from the exhibitor’s facility. Ideally, this will be something you can easily mail to the winner(s). If you have any prizes to contribute, a GBHCW staff member will follow up with you about it. Please limit your door prizes to three items and a max value of $50 per item.
Date Selection and Acknowledgement/Photo Release
Date Selection
Upcoming Event Dates
Due to COVID-19, this year's event will be held virtually.
Acknowledgement and Photo Release
I understand that I am voluntarily providing the following information to the Georgia Board of Health Care Workforce and that it may be distributed to residents and physicians who registered for and/or attended this event. By completing this webform, I acknowledge this potential use of the provided information and allow the Georgia Board of Health Care Workforce to release such information to interested parties. Photographs taken by GBHCW staff at in-person Practice Opportunity Fairs are property of the Georgia Board of Health Care Workforce and may be used in future promotional materials and/or social media. Registration for this event acknowledges this potential use and shall serve as a photo release.