ACAPS Winter Retreat Resident and Medical Student Travel Scholarship
February 22-23, 2020
Austin, Texas

Please complete the application below while staying within the allotted space for responses. Applicants must be early in their plastic surgery training (Integrated PGY 1-4, Independent PGY 1-2) or be medical students.

All fields are required.

First Name
Last Name
Email
Phone
Gender Male
Female
Prefer not to answer
Ethnicity Hispanic or Latino
Black or African American
White
American Indian or Alaska Native
Asian
Native Hawaiian or Other Pacific Islander
Middle Eastern
Other
Prefer not to answer

Name of Medical School
Name of Plastic Surgery Residency
(enter "N/A" if not applicable)

Please list your anticipated educational status as of February, 2020:

Medical Student
Year 1
Year 2
Year 3
Year 4
Integrated Plastic Surgery Resident
Year 1
Year 2
Year 3
Year 4
Independent Plastic Surgery Resident
Year 1
Year 2
Research Year

As the theme of our next winter retreat is "Global Health Education" please describe how global service fits into your career goals and detail up to 3 current or prior activities that demonstrate commitment to global service

(Word limit: 500)
Describe how you will integrate medical education into your future career and detail up to 3 current or prior activities that demonstrate commitment to global service

(Word limit: 500)

Upload one letter of recommendation from any practicing plastic surgeon or someone who can comment on your commitment to global plastic surgery education.
Upload your CV
 

 
 
American Council of Academic Plastic Surgeons
500 Cummings Center, Suite 4400, Beverly, MA 01915
Phone: 978-927-8330 | Fax: 978-524-0498