ADULT CONGENITAL HEART DISEASE FELLOWSHIP APPLICATION

Please Indicate which Fellowship program you are applying to:

Clinical ACHD Program Structural/Interventional ACHD Program

Name :

Email:

Phone(s):

Current level of training:

Preferred start date:

Other possible start dates:

Please indicate which of the following applies to you.

Yes- I have access to External Funding through an organization, government and/or sponsorship.
No- I do not have access to External Funding and would like to be funded through your organization.

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For International Medical Graduates

Although the CPSO (College of Physicians and Surgeons of Ontario) no longer requires to complete TOEFL for
licensing purposes, applicants to clinical fellowship training programs in the Department of Medicine are required
to successfully complete the TOEFL where:
 your first language is neither English nor French, or
 your medical school and language of patient care was in a language other than English or French, or
 you have not taken a minimum of 4 years postgraduate training in North America.
Please note the director of our fellowship program may choose to waive the TOEFL. This is assessed on an
individual basis.

*A minimum of six months from the time your paperwork is received in congenital program office is required to
process your Canadian Visa.

Please send the following documents to: torontoachd@uhn.ca

 CV
 Entry Statement
 Completed Preliminary Questionnaire