Application for a Pediatrician Job - Download as DOC by wsj12590

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									                         INDIA GIANI FUND
                    Scholarship Application Process
Meeting information:
HOT TOPICS IN NEONATOLOGY
December 6-8th, 2009
Washington DC USA
Application deadline: JULY 15, 2009

Requirements:
    Be a member of the Indian Academy of Pediatrics

      Reside and practice in INDIA

      Be a researcher in the area of Pediatrics or a Practicing Pediatrician in INDIA.
       Preference will be given to those who will effectively promote bilateral exchange.

      Submit Completed Application. To ensure proper processing, please type or write
       clearly and legibly.

      Submit a recent copy of your Curriculum Vitae, this should include a list of
       accomplishment and any publication that you have contributed in.

      Obtain a visa to enter the US. AAP will provide some of the needed documentation
       for your review process, but each individual is responsible for additional material,
       and the appointments process with the US consulate or embassy.

      At least one letter of recommendation from one of the following, from India or the
       US:

           o Head of Pediatric Department (or other Medical Department)
           o Dean or Principal of a University Pediatric/Medical program
           o Internationally Distinguished Pediatrician

Application:
Surname/Last Name: _______________________________________
First Name: _________________________________________
Designations: __ DR. __ PhD      __ MPH __Other, please specify:
___________________
Preferred address for mailing:
Street address: _______________________________________________________
               _______________________________________________________
City: ________________________               State: __________________________
PIN: ____________________                    Country: INDIA
Job Designation: ___ Assistant Professor     ___ Professor         ___ District Medical
Office ___ Lead Researcher           ___ other, please specify:
________________________________
Office Address: _______________________________________
City: ________________________               State: __________________________
PIN: ____________________                    Country: INDIA




Please write, in less than 500 words, how attending this meeting will help your current
work:
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Are you receiving funding from any other person or organization to attend this meeting?
___ no
___ yes       if yes, please explain:
________________________________________________
_________________________________________________________________________
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_________________________________________________________________________
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Mail to:
Alejandra Lule
Manager, International Affairs
American Academy of Pediatrics
141 Northwest Point Blvd.
Elk Grove Village, IL 60007, USA
alule@aap.org

								
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