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CLEVELAND CLINIC
TRAINING IN SEMENOLOGY, CRYOPRESERVATION, AND ART

Application Procedure

APPLICATION FOR TRAINING - Interested persons should send their latest curriculum vitae, a letter of recommendation, a passport picture, and a completed Questionnaire to the address given below.

REGISTRATION
 

Name: ____________________________________________________________________________

Address: __________________________________________________________________________

              _________________________________________________________________________

Telephone:
Home ______________________  Office _____________________  Cell ______________________

E-mail: __________________________________  Degree:_________________________________

Current Position: _________________________________   Since: __________________________

Specialty:

  Andrology   Basic Research   Embryology   OB/GYN   Urology   Other

Previous experience in related area: ___________________________________________________

              _________________________________________________________________________

Interest:

  Module 1   Module 1A   Module 1B   Module 2   Module 3   Module 4
 
  Module 5A   Module 5B   Module 5C   Module 5D   Module 6   Module 7
 
  Module 8   Customized Modules: ______________________________________________

Training Objective: _________________________________________________________________

              _________________________________________________________________________

              _________________________________________________________________________

When are you available for training? ___________________________________________________

What is the length of training required? ________________________________________________

Note:

  • Please see the application procedure and fee schedule for further requirements and instructions.
  • This document may be downloaded in PDF form by clicking on the link below
    PDF for Download


 

 
 
Fee Schedule

FEE SCHEDULE (Effective October 1, 2007)
Module Training In Duration Course Fee (US)
1 Semenology 1 week $ 4,500.00
1A Routine Semen Analysis 1 day $   895.00
1B Sperm Morphology 2 days $ 1,200.00
2 Advanced Sperm Function Tests 4 days $ 4,250.00
3 Sperm Preparation Techniques 2 days $ 1,950.00
4 Cryopreservation 1 day $ 1,795.00
5A Assisted Reproduction (ICSI) 2 weeks $ 6,950.00
5B Assisted Reproduction (ICSI) 1 week $ 4,895.00
5C Assisted Reproduction (ICSI) 1 week $ 5,850.00
5D Assisted Reproduction (ICSI) Selected by the Candidate To be determined
6 Vitrification 1 Day $ 2,200.00
7 Management of Lab 2 Days $ 2,500.00
8 Preparing for Accreditation 2 Days $ 2,500.00

 

Payment and Accomodation

Other Important Information:

 
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Last Update : October 21, 2009
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Center for Reproductive Medicine
The Cleveland Clinic
9500 Euclid Avenue, Desk A19.1
Cleveland OH 44195
U.S.A.