Fellowship Application

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Fellowship grants will be made only after review and approval of the Foundation for the Advancement of Wound Care. For a fellowship grant to be considered, the application form must be completed and submitted online by July 31, 2024. This Word Application Document should be used as a worksheet to guide the completion of the online application submission.

Applicants may begin their application and return to complete it at a later time by clicking on the “Save and Continue Later” button located at the bottom of the page.

Applicant
Fellowship Program Address(Required)
Fellowship Director Information(Required)
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Fellowship Coordinator Name(Required)
Designated Institutional Official (DIO) Name(Required)
Funding Name (as it appears on W-9)(Required)
Funding Contact Address(Required)
Please enter a number from 0 to 100.
Do you have a formal Diversity, Equity, and Inclusion program within your Fellowship (DEI) program or institution?(Required)

For each clinical area listed below, identify the primary faculty person responsible, the person’s degree(s) and (sub)specialty, and the site where the training will occur.

Management of arterial, venous, lymphatic, and neuropathic ulcers.
Management of pressure ulcers/injuries.
Management of surgical wounds.
Management of atypical wounds
Basic dressings, advanced biologics, and other modalities in wound care.
Basic management of burns.
Basics of wound bed preparation.
Nutrition in wound care.
Management of wound infection.
Basic science of wound healing.
Wound reconstruction and the role of plastic surgery.
Role of and access to HBOT in wound care.

Aware that the addition of a 40-hour UHMS course will enhance the skills and marketability of your fellow(s), will your program offer it?(Required)
Max. file size: 2 MB.
Max. file size: 2 MB.
Max. file size: 2 MB.

"I certify that all the information provided is accurate to the best of my knowledge and understand that incompleteness of the information will disqualify my institution from the application process."

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