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Guidelines for Submission  

The ACDS Mid Career Development Award provides financial support for ACDS members to defray the cost of acquiring specific skills and knowledge to enhance their professional development in some aspect of contact dermatitis and/or occupational dermatology. This program is made possible by a generous contribution from Stiefel Laboratories.    

The goal of this Program is to provide ACDS members opportunities to enhance their career development through participating in "hands-on" training or other educational activities.

The applications are due April 15 and October 15 of each year.

The Criteria

1. Awards will be made for specific educational programs to individual members.
2. Applicant must be at least six (6) years out of residency and a member in good standing of the ACDS at the time of application.
3. Awards will be designated for acquiring academic, clinical or research skills in some aspect of contact dermatitis including but not limited to patch testing, occupational dermatology, teaching of contact dermatitis, etc.
4. Criteria for awards will include the merit of the proposal, as well as the perceived need of the applicant to improve his or her skills in this area. Two letters of reference should be provided; one from potential Peer Expert that defines the content of the program with the beginning and ending dates (or letter of reference with documentation of the course) and a letter of recommendation from an ACDS Member.
5. If the applicant and mentor are employed or affiliated at the same institution, the applicant must provide adequate justification for the necessity of the award.
6. Applicants should identify the specific skill(s) they wish to acquire and define an educational program designed to meet the special needs.
7. Applications will be submitted to the Mid Career Development Committee on October 15 and the date of the program start should not be earlier than February 15 of the following calendar year. Awardees are expected to attend the Annual Meeting to acknowledge receipt of the award unless specifically excused by the Committee Chairman.
8. Up to $10,000 in grants will be awarded each year. Preference will be given to budgets of $4,000 or less.
9. Awardees may request reasonable travel expenses, necessary tuition, and appropriate housing expenses but requests for the purchase of equipment, meeting registration fees and books are typically not funded.

Requirements

1. If an approved proposal cannot be completed as originally submitted, the awardee must immediately contact the ACDS office. Arrangements will be made to return the award if already received or change to an alternative program approved by the Committee.
2. 30 days prior to the start of the mentoring program, the applicant is to reaffirm the dates of the mentoring program with the ACDS Office and request their award check indicating the address for mailing. Ten percent of the award will be withheld until the final written report is submitted.
3. Once the applicant has completed the approved program, the mentee is required to submit a written report summarizing the skills or knowledge acquired from this experience. Upon receipt of the written report, the balance of the funding will be issued.
4. Applications must be complete to receive full consideration from the review committee.
 

 

Applicant Information

First Name *
Middle Name
Last Name *
Suffix
Degree(s)
Company/Institution
Mailing Address *
City *
State
Zip/Postal Code
Country
Email
Phone
Fax

Mentor or Course Information

Mentor Institution
Contact Email
Contact Name
Address
City
State
Zip
Country
Phone

 

Mentoring Details

Fax
Area of Focus (as it relates to Contact Dermatitis)
Program Dates (from / to)
Program Location

Budget Request

Tuition / Fees
Transportation
Lodging
Meals
Other, describe
TOTAL Request

Statement of Purpose

1. In your Statement of Purpose, describe your career goals as they relate to the field of contact dermatitis.
2. Describe the goal(s) of the proposed program and any specific project planned.
3. How will this program impact your future career development in dermatology?
4. How will this experience specifically help prepare you to be a leader in contact dermatitis?
 

Statement of Purpose (paste text here).
Statement of Purpose (upload here).

Curriculum Vitae

CV Upload

References

2 Letters of Reference one from the proposed mentor that de?nes the content of the program (including length of time) and a letter of recommendation from an ACDS Member. (May also be mailed or faxed separately).

Reference 1
Reference 2

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