Research Scholarship Award

The ConnectMed Research Scholarship Award supports significant research that advances technical knowledge and capacity building in any of the multidisciplinary specialties involved in the treatment and care of congenital or acquired conditions.  We support applicants with demonstrable financial need and commitment to providing care to the needy in their communities. This award provides funds up to $2500 for resources, supplies, travel, visa processing, accommodations, and conference registration fees associated with the completion, presentation, and/or scientific publication of original research.

Criteria

    • Applicant must be from a lower or middle income country.

    • Applicant must be a medical student, graduate student, post-graduate physician in training actively enrolled in a training program, or a physician or allied health professional with an active license.

    • Applicant must be presenting original research at a scientific conference.

    • The research must relate to ConnectMed’s goals of furthering multidisciplinary, sustainable healthcare for the treatment of craniofacial differences, burns, traumatic injuries, and all congenital or acquired anomalies.

Research Scholarship Application

Research Scholarship Application Form
Applicant Type
Applicant's Full Name
Date of Birth
Contact Information
Address *
Address
City
State/Province
Zip/Postal
Country
Gender

Financial Position:

Do you have any other funding for your research? *

Secondary Education

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University Education

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(For Medical or Graduate Students) Medical or Graduate Education:

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Post Graduate Training:

Graduated?
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(For Active or Allied Health Professional) Current Position:

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Description of Research:

Honors and Awards:

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References

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Applicant must submit the following:
1. two (2) letters of reference from educators, supervisors, a current Program Director or, in the case of active physicians or allied health professionals, colleagues in the same specialty.
2. current CV
3. abstract of submitted research
4. budget of estimated expenses
5. signed Consent Form for photos/videos (see last page of Application)
File Upload *
Maximum upload size: 268.44MB
Photo and Video Consent Form:
Permission is granted to ConnectMed International the right to use photos, videos and audio recordings of me or the research that is the subject of ConnectMed’s Research Scholarship Application for the purpose of marketing and publicity. Possible uses of recorded audio-visual or photographic media include but are not limited to; ConnectMed’s website (www.connectmed.org), ConnectMed’s social media accounts (such as Facebook, Instagram, Twitter and LinkedIn), ConnectMed’s quarterly newsletters and on ConnectMed’s YouTube channel.