The Clinical School Application

Clinical Fertility Physician/Advanced Practice Provider (CFP/APP) Didactics, Procedures, and Dual Programs

The IVF Academy Clinical Practice program is designed to train Physicians, Medical Doctors (MDs), Gynecologists, Advanced Practice Providers (APPs) and other physicians in the principles and practice of fertility care and IVF patient management. Please attach your CV, college transcripts, and copies of medical licenses, certifications, and malpractice coverage if you have it.

Contact Ligia Popescu at [email protected] if you have any trouble with the application form or questions about the application process.

Admissions Requirements

Completed Medical or Nursing Master’s degree from an accredited university

Please Upload the Following:

College Transcripts from all educational institutions attended (unofficial transcripts are accepted)
Current Professional CV or Resume
Personal Essay
Two References (academic or professional)
Proof of Medical or Nursing License, if applicable
Proof of Malpractice Insurance Coverage, if applicable
Proof of Board Certification, if applicable
Proof of Good Standing with all professional organizations and medical licensee boards, if applicable.

Applicant Information

Full Name: *

Date of Birth: *

Email: *

Mobile Number: *

Address *

City *

State *

Postal code *

Country *

Educational Background

Undergraduate

Undergraduate Institution *

Undergraduate Degree *

Undergraduate Major/Field of Study *

Undergradudate Graduation Date: *

Graduate

Graduate Institution *

Graduate Degree *

Graduate Major/Field of Study *

Graduate Graduation Date *

Post Grad

Post-Grad Institution

Post-Grad Degree

Post-Grad Major/Field of Study

Post-Grad Graduation Date

Professional Training

Training Program

Institution

Duration

CertificationsAwards

Work Experience

Organization *

Job Title/Position: *

How Long Have You Held This Role? *

What Are Your Current Responsibilities? *

Transcripts

Academic Transcripts Upload

Please upload transcripts from all of your previous educational institutions. Unofficial transcripts are accepted. FOREIGN BASED APPLICANTS must provide WES-evaluated transcripts.

Current Resume or CV

Resume or CV Attachment Upload *

Please Upload Your Resume or CV

References

Two References are Required, either Academic or Professional *

Please Upload Your References

Personal Essay

Please provide a 1000-word minimum personal essay explaining:

Why you are interested in IVF Academy’s Clinical IVF Workforce training programs.
What is your motivation in taking this course?
What are your relevant professional experiences?
How do you believe this program will help you achieve your career goals?

Personal Essay Upload *

Please Upload Your Essay

Proof of Licensure

Proof of Medical or Nursing Licensure Upload

Proof of Malpractice Insurance Coverage

Proof of Malpractice Insurance Coverage Upload

Proof of Board Certification

Proof of Board Licensure Upload

Proof of Professional Good Standing

Proof of Good Standing with All Professional Organizations and Medical Licensee Board Upload

Certify

By signing below, I I certify that the information provided above is true and accurate to the best of my knowledge.

Signature *

Clear

Today's Date *