Traveling Fellowship Application and Instructions

The 2012 Traveling Fellowship Application will be made available at a later date.  2012 application deadline to be determined.

The 2011 application instructions and submission requirements below may be used as a frame of reference for the 2012 application.  Please note, changes to the application may be made.

INSTRUCTIONS:

1. Applications can not be saved, you must submit the application after filling out the information.
2. Candidate must be a resident of North America.
3. Candidate must be a healthcare professional (MD, DO, PhD, PharmD, RPh NP, PA, or RN) or a scientist working in a health related field, preferably a junior faculty member or a professional-in-training.
4. The following items constitute the complete application:
   1. This application form filled out with these attachments:
      1. Photograph
      2. Abbreviated CV (no longer than 4 pages)
      3. A personal statement
      4. Proof of North American citizenship or residency of Canada, Mexico or United States
   2. Two (2) letters of recommendation
   3. Letter of support from proposed host supervisor
   4. Letter of support from the proposed host supervisor which includes an outline of the agreed upon project, available resources, and supervisor’s role
   5. Brief biographical sketch of supervisor and list his/her recent publications
   6. Personal statement
5. Insert your personal statement of approximately 500-700 words into the application form where indicated. The following details should be included:
   1. Description and purpose of project
   2. Relationship and benefit of project to personal area of interest
   3. Basis for choice of sponsor
   4. How your involvement with the project advances the goals of NATF and how it will benefit NATF as an organization
6. Attach proof of citizenship or residency of Canada, Mexico, or United States. Acceptable documents are:
   • Passport
   • Birth Certificate
   • Consular Report of Birth or Certification of Birth
   • Naturalization Certificate
   • Certificate of Citizenship
   • Driver’s License
   • Utility Bill
   • Automobile, Life or Health Insurance Policy
   • Voter Registration
   • IRS Tax Report W-2 Form

   Please attached one of these document as either a scanned image (.jpg) or document (.doc or .pdf).

7. Request two letters of recommendation (note: provide contact information for each sponsor in Section II in the application form). One letter should be requested from the Attending Physician, Senior Pharmacist, Nursing Director, or Lab Director under whose service you have done the majority of your residency, training, or research. The other letter can be requested from a health care professional or scientist familiar with your work. Letters of recommendation from the Directors of Training Programs or Fellowships are especially useful
8. Important: a letter of support must also be requested from the supervisor of the Fellowship program that you are proposing to NATF. The letter should include information about how the sponsor will work with the Fellow.
9. It is the applicant’s responsibility to make sure all forms and letters are received in the NATF office by the specified deadline. Be assured that the NATF office will contact you as soon as one of your letters arrives in the office, but it is solely the applicant’s responsibility to stay in touch with all sponsors to assure their letters arrive before the deadline.
10. All letters of recommendation should be addressed and directed to Arthur A. Sasahara, MD, Chair, NATF Traveling Fellowship Committee. Original signed letters are to be mailed to the following address: North American Thrombosis Forum, 368 Boylston Street, Brookline, MA, 02445.
11. If you have any questions about completing the application, please contact NATF at (617) 730-4120 or email info@NATFonline.org.

Make a donation through PayPal, it's easy, safe and quick.

NATF • 368 Boylston Street • Brookline, MA 02445 • Phone: (617) 730-4120 • FAX: (617) 738-7652 • Contact Us • Terms of Use
© 2012 North American Thrombosis Forum, Inc.