Application Process

In order to participate in a CAST program, participants are required to submit the following documentation.

  1. CAST Application Form (pdf) Please complete the CAST application form as accurately as possible and submit with the below referenced supporting documents to:

      The Cleveland Clinic Foundation
      Center for Advanced Skills Training, E 32
      9500 Euclid Avenue
      Cleveland, OH 44195

    Please enclose a check to cover the registration fees payable to The Cleveland Clinic Foundation, c/o Isador Lieberman.

  2. Participation Agreement (pdf) Carefully review the participation agreement. Return a signed copy of the agreement with the CAST application form.

  3. Application Form for Special Activities License In order to participate in the hands-on training component of the program, if you do not have a current Ohio Medical License, you must obtain a Special Activities License from the State Medical Board of Ohio (SMBO). Please complete the Special Activities License Application (pdf) and mail the original to the SMBO with required payment immediately. Be sure to keep a copy of the license application to submit to CCF with your CAST application.

  4. Curriculum Vitae

  5. Current Malpractice Insurance Certificate

  6. Copy of Ohio Special Activities License (if not currently licensed in the state of Ohio)

In order to expedite the application process in a timely manner, all required forms must be submitted to CAST at least 10 weeks prior to the start of your program.

If you have any questions, please call the CAST office at (216) 445-5601

 

Center for Advanced Skills Training, E 32
9500 Euclid Avenue, Cleveland, OH 44195
Tel. (216) 445-5601
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