360 Degrees of Radiology Resources
The leading professional organization for radiology business management professionals in any radiology setting.

Call For Fellows [Use to submit your candidacy]

If you are unable to submit your application electronically or need assistance, please contact RBMA at 888.224.7262

Deadline for nominations is February 28, 2017.

   

Fellowship Application Form

First Name:
Last Name:
Credentials (e.g. MD, RT, RCC):
Title:
Employer:
Address:
City:
State:
Zip Code:
Day Phone: ( ) -
Evening Phone: ( ) -
E-mail Address:
   
Employed by:

Radiology Practice
Imaging Center
Hospital
University
Practice Management Company
Billing Service
Independent Consultant
Business Management/Financial Services Company
Other:

   
A successful Fellowship application will consist of: (1) Fellows Application Calculator spreadsheet, (2) two letters of reference, (3) résumé or CV, and (4) an essay.
   

Fellowship Points and RBMA Continuing Education (CE) Credits

Click here to download Fellowship Points and CE Credits worksheet.

Click Browse to attach your Fellowship Points and CE Credits worksheet.

   

Curriculum Vitae

Click Browse to attach your CV:

   

Letter of References

Click Browse to attach your first letter of reference:

Click Browse to attach your second letter of reference:

   

Essay

Click Browse to attach your essay:

   

By clicking “Submit”, you attest that the information provided above is accurate and truthful to the best of your knowledge.  Information provided later determined to be false or intentionally misleading may result in your disqualification or revocation of Fellowship. 


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