2020 ANA International Outreach Travel Scholarship Application

Deadline: The application deadline was May 1, 2020, at 11:59 p.m. PDT. Applications are no longer being accepted. 

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. A named mentor in the applicant's location of training who is an ANA member with at least Assistant Professor level appointment
  2. A letter of support from a host institution in a low or middle-income country
  3. Three unique letters of recommendation
  4. A letter from the Chair of Residency Director confirming availability to attend the Annual Meeting in the year the following travel to present a poster and/or data blitz
  5. A proposal which includes: (see more detail in File Upload Section II)
    • 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
  • 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 if selected I will provide an estimated budget to the International Outreach Committee of expected travel costs
  • I agree that anything above the scholarship maximum amount of $5000 is my responsibility 
Section I: Submitter Information
Section II: File Uploads
Letter from the Chair or Residency Directory confirming availability to attend the upcoming Annual Meeting, if selected, for award recognition
Files must be less than 2 MB.
Allowed file types: pdf doc docx.
Files must be less than 8 MB.
Allowed file types: pdf doc docx.
Recommendations from three unique sources
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.
Files must be less than 8 MB.
Allowed file types: pdf doc docx.
Files must be less than 2 MB.
Allowed file types: pdf doc docx.
Provide detailed information regarding each of the following evaluation criteria: