2021 ANA International Outreach Travel Scholarship Application

 

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Purpose

The purpose of the International Outreach Travel Scholarship is to allow young neurologists the opportunity to pursue their global interests in neurology. This opportunity will take advantage of the excellent mentorship opportunities within the ANA membership and catapult new collaborations for future careers in a variety of neurological disciplines. The travel scholarship provides reimbursement up to but not to exceed $5000 for roundtrip airfare, country entry, medical evacuation, and repatriation insurance (if institutional insurance is unavailable), visas, medical license, accommodations, and local transport during an abroad rotation, and/or vaccinations/travel-related medications.

Eligible Candidates

Eligible candidates include ANA Members who are neurology residents, fellows or junior faculty and are within the first three years from the start date of their first faculty appointment at the time of application. Candidates must provide:

  1. Three letters of recommendation:
    • letter from a named mentor who is an ANA member with at least Assistant Professor level appointment
    • letter of support from a host institution in a low or middle-income country
    • letter from the appropriate supervisor: chair of the department for faculty; fellowship director for fellows; and residency director for residents, confirming availability to attend the Annual Meeting iand present a poster and/or data blitz in the year following travel.
  2. A proposals which follows the outline provided in this PDF:  ( link to downloaded PDF here)
  3. a proposal which includes: (see more detail in File Upload Section II) THIS SECTION MAY BE TAKEN OUT IN PLACE OF THE PDF
    • Educational opportunity for the candidate
    • Benefit for the neurological care of patients at the receiving institution
    • Educational opportunity for trainees of the receiving institution
    • Collaborative research opportunity between the US and receiving institution
    • Proposed timeline for travel
  • I am a current ANA member in good standing 
  • I am in good standing with my respective training/employment programs
  • ​I agree I will complete basic and advanced security in the field training through the United Nations ( available online)
  • I agree to allow my summary, name, institution and project title to be listed on the ANA website
  • ​I agree to submit a formal report to the ANA International Outreach Committee and Board of Directors within 90 days of return.
  • I agree to work in the host country for a minimum of six (6) weeks, traveling within the academic year following the award, unless there are special circumstances that are approved by the International Outreach Committee and the Board of Directors.
  • I agree to submit an abstract to the ANA in the Global Neurology category and/or present a poster or data blitz at the next Annual Meeting following my travel. 
  • I agree that anything above the scholarship maximum of $5000 provided by the ANA  is my responsibility 
Section I: Submitter Information
If you are not willing to get a license to practice in your host country, please explain
Section II: File Uploads
Recommendation Letters
Letter from Faculty Department Chair, Fellowship Director or Residency Directory
Files must be less than 2 MB.
Allowed file types: pdf doc docx.
Files must be less than 8 MB.
Allowed file types: gif jpg jpeg png pdf doc docx.
Files must be less than 8 MB.
Allowed file types: pdf doc docx.
Files must be less than 8 MB.
Allowed file types: pdf doc docx.
Please follow the outline provided in the application form
Files must be less than 2 MB.
Allowed file types: pdf doc docx.
Provide detailed information regarding each of the following evaluation criteria: