International Elective Award Application


Thank you for your interest in the International Elective Award Program. Due to the current pandemic, the Fall 2020 application cycle (due 9/15/20) has been deferred to Spring 2021. The form will remain open, but all submissions will not be reviewed until next year. Questions about this program can be directed to kvandenbrook@aap.org. Stay safe and be well!

 
Each academic year the AAP will designate several awards split into two cycles to residents and fellowship trainee members who wish to complete a clinical pediatric elective in the developing world during training. Resident applicants must be enrolled in pediatric residency training programs that are approved for credit toward certification by the American Board of Pediatrics, the American Osteopathic Board of Pediatrics, the Royal College of Physicians and Surgeons of Canada, or La Corporation Professionelle des Medecins du Quebec. 
 
REQUIREMENTS:

1) Applicants must be a member of the AAP Section on Global Health (SOGH). For more information about SOGH, please click here.

2) Elective must be at least 4 consecutive weeks and primarily clinical.

3) Applicant must be a resident or fellowship trainee at the time of application.

4) Application must be submitted prior to leaving for elective. 

KEY INFORMATION

Award Amount: $1000

Application Deadline: September 15, 2020

Program Director's Recommendation Form: Awards are given solely on the basis of the application and the accompanying form from your program director, faculty mentor/advisor, or global health director. Once your application is processed, it will be forwarded to the person designated on your application along with the link to the recommendation form. Please make sure the person designated to complete your recommendation has received the link and has submitted the form by September 30, 2020Applications will be considered incomplete without a recommendation form and SOGH membership. 

Financial Information: Please note that if the check is payable to the individual, a social security number will be requested if he/she is selected to receive the award. Receipts from your elective (flight, accomodations, etc) totaling the amount of the award ($1,000) will also be requested. Individuals that do not submit receipts will receive a 1099-MISC form for the 2020 calendar year, and the award will be considered taxable income. Applicants may also consult with his/her training program and request that the award check be payable to their institution. 

Important: Please do not apply for this award if you are being paid for this rotation in addition to your regular resident or fellowship trainee salary. However, you may seek additional funding for your rotation in addition to this award.

Further Questions: Please contact Kimberley at kvandenbrook@aap.org or (630)626-6134.


GENERAL INFORMATION
*Fields are required
Training Status *

MAILING ADDRESS

PERMANENT ADDRESS
If different than above

OTHER CONTACT INFORMATION

ELECTIVE ABROAD
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Aim of elective (please choose all that apply): *
0/500 words
0/300 words
Please list your top 3 personal objectives for your elective.
0/100 words
0/100 words
0/100 words
Please list your top 3 objectives on what you will be giving back to the site or organization on your elective (examples include shared curriculum or projects, training sessions or lectures at partner site, bidirectional exchange between institutions, etc.)
0/100 words
0/100 words
0/100 words
0/500 words
What kind of preparations have you made for your trip?
Vaccination and prophylactic medications *
International evacuation insurance *
Language fluency *
0/100 words
Reading on history and current health care system of country/region *
Reading and learning on epidemiology of country/region *

REFERENCE FOR APPLICANT
*Please provide the contact information below for the person (e.g., Program Director or Global Health Director/Mentor) that will complete your recommendation.

CERTIFICATION *
Please Sign Here *
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How did you hear about this program? Please choose all that apply. *
 
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