Clinical Cardiology Electrophysiology
Fellowship Application

Instructions:   This application is for one of the two CCEP Fellowships beginning in July, 2011.  Please note the newly revised deadline for applications: October 30, 2009.   We will conduct interviews in December, 2009 and January, 2010.

  1. Please complete this online application form and submit. 

  2. We prefer the electronic submission via email of your curriculum vitae and your personal statement  to Cynthia Elledge-Volker, PhD,  CCEP Fellowship Education Administrator (cee2j@virginia.edu).  We will accept paper versions faxed to 434-244-7581 or mailed to:


    Cynthia Elledge-Volker, PhD
    CCEP Fellowship Education Administrator
    Cardiovascular Fellowship Program
    1215 Lee Street Room 2772
    PO Box 800662
    Charlottesville, VA 22908

  3. Please arrange for  two letters of recommendation to be sent to Michael Mangrum, MD, Director of Clinical Cardiac Electrophysiology. One letter must come from your Cardiovascular or Cardiology Fellowship Program Director and a second letter from the Division Chief of Cardiology at your present institution. Letters must be individually signed and sent in sealed envelopes, preferably mailed directly from the recommender's office.   Additional letters of reference are welcome.  All letters should be mailed to:

Michael Mangrum, MD
c/o Cynthia Elledge-Volker, PhD
CCEP Fellowship Education Administrator
Cardiovascular Fellowship Program
1215 Lee Street Room 2772
PO Box 800662
Charlottesville, VA 22908


For more information, please contact Cynthia Elledge-Volker, PhD, Program Administrator, at (434) 924-9001 or email at cee2j@virginia.edu .


Personal:



Education:

Please answer all items that are applicable.



Additional Information: