Program Directors & there Secretary Info

One45- Program director info

If You Are A Program Director For A saudi Board Or Fellowship Program Or Diploma , Kindly Fill in this Form, So We Can Add You and your secretary To One45 System.
Program Director Name *

First Name Last Name
Program Director Email *
Please Use The Same Email That We contact You With .
Email 2 (OPTIONAL)
example@example.com
Mobile Number *

Phone Number
The Center You Are A Program Director At: *
Kindly Fill It Right , So We Can Add You To The Correct Center Group
Region *
Type Of Program *
Specialty *
Sub-specialty *
Diploma *
Do you have a program secretary in Your Center That should be added to one45. (to assist you) : *

Yes No
Admin Information : "In the training center"

the secretary whos going to assist the program director to add residents , Schedule the rotations ...etc
Secertary Name *

First Name Last Name
Email *
example@example.com
Email 2 (OPTIONAL)
example@example.com
Phone Number

Phone Number
Should be Empty:

One45- Program director info