New Program Setup

Program Name / Specialty

Program Director

Coordinator (Primary)

Accreditation Status
(Accredited [Number] / In Process /
Will Not Be accredited)

Program Type (Residency / Fellowship)         

PeopleSoft Location Code

PeopleSoft Department ID Number

Program Length (Years)

HO Levels for Program

First Academic Year for Program
(when will the program start)

Program AY Cycle Start Date
(July 1st?  August 1st?)

Expected Initial Program Size

Does program have multiple tracks
(Prelim/Categorical)

Program Mailing Address

Program Phone Number

Program Website (if any)

IRIS/CMS Specialty Code
(required for milestones)

Participating in ERAS?  (Y/N)

If NO, what is the application process

Participating in NRMP Match (Y/N)

If not, name matching program (if any)

If no Matching program, describe Application / Acceptance process