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HOUSE STAFF EXIT INFORMATION FORM A (Complete form A if you are leaving Vanderbilt)Instructions: Provide any and all information for future training and/or the type of medical practice you are pursuing.
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To fill out complete form A, follow these steps:
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Start by entering your personal information such as your full name, date of birth, and contact details.
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Provide your residential address and any other relevant addresses, such as your work address.
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Specify your citizenship or immigration status, and provide supporting documents if required.
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Fill in the required information about your employment or education history.
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Provide details about your income, assets, and liabilities.
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Note: It is important to read the instructions accompanying the form to ensure you provide all the required information and meet any specific criteria or deadlines.

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Complete form a is a document that collects information about a specific subject or individual.
All individuals or entities who meet the criteria set forth by the governing body.
Complete form a can be filled out online or in paper form, following the instructions provided.
The purpose of complete form a is to gather necessary information for record-keeping or analysis.
Information such as personal details, financial information, or other relevant data may need to be reported on complete form a.
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