2024 AM RESIDENT SCHOLARSHIP PROGRAM APPLICATION

2024 RESIDENT SCHOLARSHIP PROGRAM APPLICATION

The American Orthopaedic Foot & Ankle Society will award scholarships for orthopaedic residents to attend the AOFAS Annual Meeting in Vancouver, British Columbia, Canada, September 11-14, 2024. US and Canadian orthopaedic residents who are PGY1, PGY2, or PGY3, during the 2023-24 academic year and who have an interest in foot and ankle surgery are encouraged to apply.

This is an opportunity to attend the AOFAS Annual Meeting, learn more about foot and ankle surgery, and network with leading foot and ankle surgeons.

The annual AOFAS Resident Scholarship Program covers:
- Registration fees for the Annual Meeting
- 4 nights’ lodging and a $450 transportation stipend
- Resident Scholar / Mentor Reception
- 1 Year Surgeon in Training AOFAS Membership
If approved for the scholarship, AOFAS will cover the cost and handle the meeting registration and lodging accommodations. The resident will responsible for making their own travel accommodations. A travel stipend of $450 will be issued by AOFAS to the resident after the completion of the Resident Scholar Agreement.

If it is necessary to change the Annual Meeting to a virtual format, the selected Resident Scholars will receive complimentary registration to the Annual Meeting, and virtual participation will be required.
ELIGIBILITY
Applicant must be an orthopaedic surgery resident in their first, second, or third year of training during the 2023-2024 academic year in a US or Canadian training program, demonstrate enthusiasm for and have a sincere interest in foot and ankle surgery, be in good academic standing, and obtain a recommendation from his/her orthopaedic training program director.

Applicant must be able to attend the full Resident Day program on Wednesday, September 11, in order to receive the Scholarship.

Note: The Resident Scholarship is a non-transferable, one-time-only opportunity. Scholars agree to abide by program terms and acknowledge that acceptance of a scholarship precludes receiving any future Resident Scholarships. In cases where a resident is approved for the scholarship and is unable attend all programing for Resident Day on Wednesday, September 11, any and all stipend funds must be returned.

Scholarship application decisions will be communicated via email on a rolling basis. We will continue to review applications until all scholarship spots are filled.
INSTRUCTIONS

1. Complete the application. Application form and supportive material will be accepted and reviewed on a rolling basis until the program is full. Incomplete applications will not be considered.

2. Upload your CV, personal statement, and digital headshot photo.

3. Ask your orthopaedic training program director to write a letter of recommendation for you detailing your interest in foot and ankle surgery and upload with this application.

The Resident Scholarship Program is funded by the AOFAS Orthopaedic Foot & Ankle Foundation with generous donations from individuals and corporations.
Applicant Information
Will you be able to attend the full Resident Day program on Wednesday, September 11, at the Annual Meeting?

YesNoUnsure
Name*

First NameMiddle NameLast Name
Degree Degree*
Date of BirthDate of Birth*
AgeAge*
NPINPI*
AAOS, AOAO or COA ID #ID #*
Are you an American Medical Association member?*

YesNo
Are you an American College of Surgeons member?*

YesNo
What is your gender identity?*

WomanManGenderqueer or non-binaryAgenderTransgenderPrefer not to answerNone of the aboveOther
What is your racial or ethnic identity?*

American Indian or Alaska Native: A person having origins in any of the original peoples of North and South America (including Central America), and who maintains tribal affiliation or community attachment.Asian: A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.Black or African American: A person having origins in any of the black racial groups of Africa.Hispanic or Latino: A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.Native Hawaiian or Other Pacific Islander: A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.White: A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.None of the aboveOther
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number
Please enter a valid phone number.
Phone Number Type

WorkHome
Email*
example@example.com
Email Type

WorkHome
Education
College/University University*
Date of Graduation Grad Date*
Degree Earned  Degree*

Medical School   Med School*
Date of Graduation   Grad Date*
Degree Earned   Degree*
Name and Address of Orthopaedic Residency Training Program
Name of Institution
Street Address Address Line 2 City State Zip Country
Name and Address of Resident Program Director (who will provide a letter of recommendation)
First Name    Middle     Last Name
Street Address   Address Line 2   City   State   Zip   Country
Email
Area Code   Phone Number
Military Service (if applicable)
Branch of Service
From mm/yy   To mm/yy
Rank
Location
Professional Activities
Activity Name & Location
From mm/yy mm/yy To mm/yy mm/yy
Activity Name & Location
From mm/yy mm/yy To mm/yy mm/yy
Special Awards and Honors
Provide your Curriculum Vitae, Personal Statement, Letter of Recommendation, and Digital Headshot Photo as separate attachments.
Curriculum Vitae*

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Write a personal statement as a separate attachment (not to exceed 500 words) describing your interest in foot and ankle surgery, what you hope to learn from this experience, and how you will share what you’ve learned.*

Cancelof
Letter of Recommendation*

Cancelof
Digital Headshot Photo*

Cancelof
Were you a previous Resident Scholar?:*

YesNo
Post-Grad Year in 2023-24: 1, 2, or 3*
What is your level of interest in a foot and ankle fellowship?

Very InterestedInterestedNeutralSomewhat InterestedNot Interested
How did you hear about the Resident Scholarship Program:

EmailProgram DirectorAnother ResidentAOFAS websiteOther
As of April 9, 2024, Canada has relaxed most of their COVID-19 entry requirements. Here's a breakdown:
- Passport: Yes, a valid passport is still required for all residents traveling into Canada. This is standard for entering any country.
- COVID-19: You no longer need proof of vaccination, pre-entry/arrival tests, or quarantine upon entering Canada.
- ArriveCAN: Using the ArriveCAN app to submit your travel and contact information is no longer mandatory, but recommended for a smoother border crossing process.
However, it's important to double-check Canada's official travel guidelines: https://travel.gc.ca/travel-covid before your trip. This website has the latest information on entry requirements, which can change.

Remember, these are just the federal requirements. Some provinces may have their own recommendations or restrictions in place, so it's a good idea to check with your destination as well.
I am aware of the travel requirements listed above
Terms*

By signing this form, I attest that the submitted information is true. I understand that completion and submission of this application form provides written permission for the AOFAS to make inquiries and investigate as it deems necessary to verify my credentials and professional standing. I acknowledge that my name and mailing address may be provided to third parties approved for list rental.
2024 AOFAS Resident Scholarship Grant recipients will be announced in July. All applicants will receive an email notification of the determination of their application then.
Signature*

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Should be Empty:

Applicant Information

Education

Name and Address of Orthopaedic Residency Training Program

Name and Address of Resident Program Director (who will provide a letter of recommendation)

Military Service (if applicable)

Professional Activities

Special Awards and Honors

Provide your Curriculum Vitae, Personal Statement, Letter of Recommendation, and Digital Headshot Photo as separate attachments.