CSRS Hands-on Surgical Techniques Course Scholarship Application for U.S. based senior residents and fellows
July 21-23, 2022 * Indiana Spine Group, Carmel, IN (Scholarship covers course registration and travel expenses)
Others are not eligible for scholarship
MD, PhD, etc...
Please enter a valid phone number.
Resident Director or Future Fellowship Program Director Name
Residents, do you have permission to take off July 21-23 to attend this entire course?
Did you attend this course in 2021?
All accepted scholarship recipients will be asked to submit a case study in advance of the meeting for discussion.
I agree to submit a case study in advance of the meeting.
By signing & submitting this application you confirm that you have permission to take the time off & attend the entire course, arrival Wed. July 21 at noon through Sat. July 23 at noon.
Should be Empty: