Visiting Professor Program Application...

Thank you for your inquiry regarding the Visiting Professor Program of the American Burn Association. This program provides financial support for a physician, educator or specialist to visit an ABA member institution and present his/her expertise in burns. Applications for this award must be made by the requesting institution not by the visitor. A maximum award of $2,000 is given to the institution for incurred expenses.

Following is an application form to be completed along with the requested supporting documentation which will then be circulated to committee members for review. The application must be received in the Education Committee Chairperson’s office three months prior to the program. The supporting documentation should include:

1. A general description of the goals and purpose of the Visiting Professors visit.
2. A copy of the Visiting Professors Curriculum Vitae.

It is expected that the proposed Visiting Professor will have documented expertise in a particular area of burn treatment, research or education and should also be a member of the American Burn Association but membership is not required.

After all incurred expenses have been paid by the institution; submit a list of these expenses to the American Burn Association, 625 North Michigan Avenue, Suite 2550, Chicago, IL 60611 for reimbursement.

Thank You.


Sponsor  
Sponsoring Institution:
Coordinator:
Address:
City, State, Zip:
Country:
Phone:
Fax:
Email:
Program  
Title or Subject of Program:
List of Program Educational
Objectives:
Potential Audience:
Physicians Respiratory Therapists
Nurses Social Workers
OT/PT Researchers
Allied Health Other
Expected Attendance:

Will persons outside your
unit be invited to attend?

Will participants be charged
for attending?
If yes, how much?
Will the sponsoring institution contribute to cost?
If yes, how much?
Will CEUs be made available to participants?
Date of Program:
Location of Program:
Visiting Professor  
Name:
ABA Member?
Institutional Affiliation:
Address:
City, State, Zip:
Country:
Phone:
Fax:
Email: