Part 1: Resident Information
Post Grad Year
Current Georgia Medical License Type
Contractual service obligations you owe following residency training (please check any that apply)
This section is information about you and your background as a physician.
Part 2: Practice Preferences
Preferred Location(s) in Georgia (please check all that apply)
Preferred Type(s) of Practice (please check all that apply)
Preferred Community Size (please check all that apply)
This section is information about where and how you would like to practice medicine.
Part 3: Spouse Information (Optional)
Is your spouse interested in employment?
This section for information about your spouse, should you wish to provide it. If your spouse works in health care too, then this information will be helpful for recruiters to place you together at a facility. If your spouse does not work in health care, then recruiters can still provide insight into the local economy about other possible employment opportunities. Again, this section is optional.
Part 4: 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 potential employers (health systems, hospitals, clinics, practices, etc.) throughout the state of Georgia that registered for and/or attended this event, whether in-person or virtual. 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.