Application for Audition/Elective Rotation

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Desired Rotation Information

e.g. Sept 2017 to June 2017
I will be in my
e.g. Sept 2017 to June 2017
I will be in my
e.g. Sept 2017 to June 2017
I will be in my
Type of rotation requesting

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I am considering applying for a Residency program at Lakeland
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Please note that all correspondence will be by email and may take up to 10 business days to receive an email reply.

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