Bausch + Lomb Resident Programs

Thank you for your interest in the Bausch + Lomb resident programs.
Please provide your name and contact information below. We will contact you with additional details on the resident programs at a later date.
A red asterisk denotes a required response.

1. First name: *This question is required.

2. Last name: *This question is required.

3. Credentials (ie, MD, DO): *This question is required.

4. Email address: *This question is required.

5. University/Organization: *This question is required.

6. Year in residency: *This question is required.

Please enter an 'other' value for this selection.

7. Which program are you most interested in?
Programs and availability are subject to change. *This question is required.

8. How and from whom did you hear about the resident programs?