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ORS STATIONERY - DOC

VIEWS: 9 PAGES: 5

									                        Orthopaedic Research Society
                           6300 North River Road, Suite 727, Rosemont, IL 60018
                                  Phone 847.698.1625 Fax 847.823.4921
                                           E-Mail: ors@ors.org
                                              www.ors.org



              ORTHOPAEDIC RESEARCH SOCIETY
         EDUCATIONAL GRANT
The Special Projects Committee (SPC) of the Orthopaedic Research Society will be accepting grant
applications until September 1, 2010. Grants are available for for meetings that are pertinent to all,
or a significant portion of, the ORS membership. Educational programs need to fulfill the ORS
requirements respecting educational and research goals.

The SPC will carefully review all applications and submit them for a final approval to the ORS Board
of Directors at their Fall meeting, typically in late September – early October.

INSTRUCTIONS:
Please read the guidelines (page 2) carefully before completing the form (pages 3-5), and note that
all applicants are required to sign a statement that all stipulations have been fulfilled. The SPC will
evaluate only applications that have been completed in accordance with the ORS’s guidelines;
incomplete forms will be rejected.

                             Submit forms to:
                              Special Projects Committee

                              ELECTRONIC SUBMISSION PREFERRED
                              Email: lewsza@ors.org

                              Please make sure you receive a return email confirming the receipt
                              of your application. If you do not receive a confirmation, please
                              contact Jola Lewsza (lewsza@ors.org or 847-384-4240).

                              If submitting via regular mail, please address to:
                              Attn: SP Committee Chair
                              Orthopaedic Research Society
                              6300 N. River Road, Suite 727
                              Rosemont, IL 60018-4226 USA


                             Deadline:
                              September 1, 2010
                                                                                             Page 1 of 5
                         Orthopaedic Research Society
                        6300 North River Road, Suite 727, Rosemont, IL 60018 USA
                              Phone (1) 847.384.4227 Fax (1) 847.823.4921
                                          Email : lewsza@ors.org
                                               www.ors.org


                   GUIDELINES FOR THE
              ORTHOPAEDIC RESEARCH SOCIETY
                   EDUCATIONAL GRANT
Beyond its own sphere of activities, the Orthopaedic Research Society may support special research or
educational meetings, symposia or workshops of high quality and impact on Society members, provided that
the following conditions are satisfied:

1.)    The meeting, workshop or symposia must involve a significant number of ORS members and may not
       be a meeting of a research society with dues paying members.

2.)    The program must be of a scientific nature.

3.)    The topics covered should relate principally to musculoskeletal research and/or orthopaedic sciences.

4.)    The meeting is, under no circumstances, to be used as a platform for promoting proprietary interest.

5.)    Information regarding financial support from other sources must be provided (the ORS should not be the
       sole source of funding).

6.)    Grants up to a maximum of $10,000 (US) may be awarded. The total annual educational grants budget
       is $20,000. Each individual grant amount recommendation will be at the discretion of the Special
       Projects Committee. The ORS Board grants the final approval.

7.)    Applications will not be considered for meetings that received ORS support in the prior budget cycle.

8.)    Submitted applications are reviewed by members of the Special Projects Committee. Committee
       members must remove themselves from deliberations if they have submitted an application for an
       educational grant.

9.)    The ORS should be reimbursed if the meeting is profitable.

10.)   Following an ORS-supported meeting, a final financial report must be presented to the Special Projects
       Committee within two (2) months after the completion of the meeting.

All applicants are required to sign a statement that ALL of the above conditions and requirements are
fulfilled.




                                                                                                   Page 2 of 5
                 REQUEST FORM FOR THE
             ORTHOPAEDIC RESEARCH SOCIETY
                  EDUCATIONAL GRANT

      FUNCTION

Name of function:


Supporting

organization(s):



Location:


Date(s):
Contact person:
Contact address:




Telephone:                                       Fax:

E-mail address:


      OBJECTIVE OR PURPOSE OF FUNCTION




Total number of participants expected:

Estimated number of ORS members participating:
Intended form of publication for the Meeting’s
Proceedings:


                                                        Page 3 of 5
       PRELIMINARY BUDGET WORKSHEET

Income
Estimated attendance income:
- Members       (full attendance fee)         #            @$               =$
- Members       (reduced fee)                 #            @$               =$
- Non-members (full attendance fee)           #            @$               =$
- Non-members (reduced fee)                   #            @$               =$
- Students                                    #            @$               =$
- Residents                                   #            @$               =$
- Spouses, etc.                               #            @$               =$
                                       Total estimated attendance income:    $

Estimated Other Income
- Private donations, outside support                                         $
- Proceedings, sales                                                         $
- Other financial sources                                                    $
                                            Total estimated other income:    $

                                             TOTAL ESTIMATED INCOME:         $

Expenses
Conference program
- Printing, mailing labels, handling                                         $
- Postage (domestic / international)                                         $

Conference rooms audio-visual                                                $

Registration
- Personnel                                                                  $
- Equipment, badges, signs                                                   $
- Telephone, shipments, gratiities                                           $
- Awards, publicity                                                          $

Travel
- Review committee                                                           $
- Staff                                                                      $
- Guests, speakers, etc.                                                     $
- Shuttle services (airport, etc.)                                           $

Special events
- Coffee breaks                                                              $
- Banquets, receptions, etc.                                                 $

                                             TOTAL ESTIMATED EXPENSES:       $

                                                  NET ESTIMATED PROFIT:      $

                                          AMOUNT REQUESTED FROM ORS:         $

                                                                                 Page 4 of 5
 RELEVANT FUNCTION DETAILS
Please cut and paste into the box below, or attach as a separate document, any relevant meeting
details (i.e., program outline, list of speakers, etc.) available at the time of completing this application.
This information is essential for the ORS Special Projects Committee to evaluate the merits of each
meeting and its value to the ORS membership. Applications with incomplete program and speaker
information may be returned without review.




 ADDITIONAL COMMENTS




 FINAL STATEMENT
I have read the Orthopaedic Research Society’s guidelines for financial support and state that
the planned meeting will fulfill ALL the requiments of the ORS.




Place                                                       Applicant’s Signature or Printed Name


Date                                                        Applicant’s Title

Updated 04/09/2009




                                                                                                 Page 5 of 5

								
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