• Clack Family Scholarship Application

  • The Foundation for International Education in Neurological Surgery (FIENS)/Clack Family Fellowship supports neurosurgical trainees from areas of the world without sufficient neurosurgical coverage, who are aspiring to complete training and need monetary help to do so.
     
    This award will provide funding for neurosurgeons who, at the time of their application, are enrolled in a neurosurgery residency program, come from a low-or middle-income country, and affirm they will return to service in their home country or another country of need. 
     
    Two fellowships will be awarded yearly on the basis of a competitive evaluation by a committee composed of FIENS members. The maximum fellowship stipend is $11,000. 

    Applications are accepted on a rolling basis with review periods occurring in August and February of each year. All applicants will receive notification within 4-6 weeks after the review period.

     In order for your application to be considered you must:

    • Be enrolled in a neurosurgery residency program
    • Intend to practice in your home country or another country of need upon completion of your fellowship
    • Be able to articulate your financial need and explain how this funding will allow you to complete your neurosurgical training 

  • Contact Information

  • Do you have your phone number registered on WhatsApp?*
  • If you answered Yes to the above question, may we contact you on WhatsApp?*
  • Is this the first time you have submitted an application for this fellowship?*
  • How did you hear about the Clack Family Fellowship?*

  • Demographic Information

    *All demographic questions are optional

  • Training Program Description

  • Letter of Recommendation

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  • Education/Research/Work Experience

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  • Award Information

  • Neurosurgical Equipment Access & Needs Assessment

    The following questions will help FIENS evaluate institutional equipment needs and potential future support opportunities.
  • What is your current access to a neurosurgical operating microscope?*
  • What is your current access to a neurosurgical drill system?*
  • Approximately how many patients per year would directly benefit from improved access to a neurosurgical microscope and/or drill system at your institution?*
  • Which procedures are currently limited or cannot be performed due to lack of equipment? (Select all that apply.)
  • If equipment were provided, who would have access to it?
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  • Reporting and Requirements

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