New Hire Form Welcome, we are all excited to welcome you to our team! Please complete the following form to assist us in adding you to our department website. If you have any questions or need assistance please email: jason.dugan@ufl.edu Name(Required) First Last Credentials/Title(Required) Position Example (Clinical Assistant Professor, Associate Professor, Research Assistant etc.)Current Cell Phone(Required)Email(Required) CV/ResumeMax. file size: 125 MB.Professional HeadshotMax. file size: 125 MB.Clinical Interests Adult Cataracts Macular Degeneration Blindness and Vision Loss Corneal Transplant Fuchs Dystrophy Glaucoma Lasik Eye Surgery Retina Retinopathy of Prematurity Strabismus Uveitis Vision Problems Other List up to three more interests (use commas to seperate). What inspired you to become a doctor and what drew you to your specilaity or subspecialty(ies)?Do you have any specific accomplishments, awards or research projects you'd like to highlight?What goals do you have as a physician?What is something your patients or potential patients should know about you?What are your hobbies or something you enjoy outside of work? (Please list at least 3)What are your research interests or projects you're currently working on?Are there diseases or treaments with witch you have special expertise and for which you would prefer to see/treat patients? (Try to identify 5-10 if possible.)If you need inspiration, please check this website for options. https://ufhealth.org/encyclopediaShort Biography(Required)We ask that you provide us with a short one paragraph bio about your academic and professional background.CAPTCHANameThis field is for validation purposes and should be left unchanged.
