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Al Surgeons Attn: FEDA Review Committee 9700 West Bryn Mawr Avenue Rosemont, IL 60018-5701 Faculty Educator Development Award Application 1. APPLICANT INFORMATION * ATTACH A COPY OF CV WITH APPLICATION First: Middle: Last Name: Address: City: State: Zip: Email:.

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How to fill out the Faculty Educator Development Award Form online

This guide provides comprehensive instructions on filling out the Faculty Educator Development Award Form online. Whether you are an experienced applicant or new to the process, this step-by-step guide will assist you in completing the form accurately and efficiently.

Follow the steps to complete your Faculty Educator Development Award Form

  1. Press the ‘Get Form’ button to access the Faculty Educator Development Award Form and open it in your preferred editor.
  2. Begin with the applicant information section. Fill in your first, middle (if applicable), and last names. Provide your current address, city, state, zip code, and email address. Enter your academic title, date entered academics, and details of your dental and medical schools, including degrees and dates.
  3. In the professional information section, list any additional degrees obtained and detail your OMS training program, including its length and completion date. Include your licensure states and the dates completed for both dental and medical licenses.
  4. Complete the specialty and professional experience portions. This includes your specialty, type of practice, dates, and locations of your previous positions, as well as your area of clinical or surgical expertise.
  5. Declare any current award applications and mention if you have applied for this award in the past, along with the year.
  6. Proceed to the OMS program information section. Provide the program name, address, and the names of the program chair and director. List the full-time faculty with their tenure in academics and the total number of residents.
  7. Detail any current grants being applied for and any previous awards you or your institution may have received. Include your total compensation information.
  8. Focus on the description of the mentoring process for new and young faculty members, and be sure to submit the required addendum (Addendum A).
  9. Draft your professional activity plan in Addendum B, outlining how the award will enhance your career development, and submit it accordingly.
  10. Ensure both you and the sponsoring institution sign the agreement in Addendum C before submission. Also, complete the annual progress report for future updates as specified in Addendum D.
  11. Once all sections are completed, save any changes you made, download a copy if necessary, and consider printing or sharing the document as needed.

Take the next step in your professional development and complete the Faculty Educator Development Award Form online today!

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