Provide examples of past and present grant funding, if applicable:
List a representative selection (up to 10) of peer-reviewed publications along with the h-index if available:
Provide the name and meeting venue of a representative selection (up to 5) of regional or national presentations:
List the title and dates of a representative selection of former or current research-related leadership roles:
Provide the name, function, and host organization of up to 3 research committees or councils on which you have served:
Provide the name and rank or level of training of one individual who would consider you a mentor:
List the title and dates of a representative selection of former or current educational leadership roles:
Provide the name and meeting venue of a representative selection (up to 5) of regional or national presentations:
List a representative selection (up to 5) of publications and/or curricular or other educational innovations and the educational course or training program in which the innovation was implemented:
Provide the name, function, and host organization of up to 3 educational committees or councils on which you have served:
List the name and awarding entity of a representative selection (up to 5) of awards/recognitions you would like to highlight that involve education (i.e., for teaching or educational excellence):
Provide the name and rank or level of training of one individual who would consider you a mentor:
Provide a statement of 500 words or less that explains why you are seeking Fellowship in the SSCI and how you intend to contribute to the organization:
