POSNA/COUR INTERNATIONAL EDUCATIONAL SCHOLARSHIP SPONSOR FORM

2025 POGO Visiting Scholar Program Sponsor Form
Date:*

MonthDayYear
Date
Name of Sponsor:*
Institution*
Phone:*
Email:*
Name of scholarship applicant (if you have one):
Areas of expertise (e.g. sports, trauma, spine, etc.)
*The POGO Committee requires that the scholarship applicant and the sponsor to be present at the same meeting. This maximizes experience for both.*
Which meeting will you be available to assist the scholar?*

POSNAIPOSEither
Would you be willing to donate air miles to partially offset costs for your scholar?*

YesNo
Would you be willing to share a room with your scholar to offset costs?*

YesNo
If scholar plans to do a pre and/or post POSNA meeting observership with you, describe specific plans (where, dates, specific objectives and plans).
The POGO Committee encourages the sponsor to complete a recommendation form for the scholar, if the scholar is sufficiently known to the sponsor. The recommendation form is available on the POSNA Website. The sponsor agrees to assist the scholar during the POSNA/IPOS meeting in assisting with transportation to and from the airport, orientation, introductions and general assistance. The sponsor will also have the opportunity to attend the welcome luncheon for the POGO Scholars. If there is an additional visit scheduled to an institution before or after the meeting, the sponsoring institution (not POSNA) is responsible for working with the scholar on travel plans to their institution, lodging and required documentation related to the institutional visit.
Should be Empty:

2025 POGO Visiting Scholar Program Sponsor Form