February 22, 2012
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SUBMIT YOUR CV



Please include a copy of your CV or resume sent as an email attachment or copied and pasted into the comments or email to: dondearwent@windstream.net or fax to: (706) 265-4685

Name
Email
Street
City State
Specialty Zip
Board Certification/Eligibility
Year received degree  
Relocation Preference
Why these geographics?  
Community Size Preference
Situation Preferred (group, solo, employee, etc.)
Availability
Reason for leaving current situation
Family members to think about in a move?
Country of Medical Degree
Citizenship Status
Privileges or license ever suspended, restricted or revoked?
Languages spoken (other than English)
Phone Number  
Office Phone  
Cell Phone  
Pager  
Best time to call  
Comments