Fellowship Eligibility

  • Any Canadian citizen with an M.D. degree from an accredited university and who is eligible for licence to practice medicine for the duration of the fellowship period.
  • Anyone who has completed or is currently enrolled in a PM&R /Neurology residency program.
  • Applicants must have a confirmed interest in management of Spasticity.

Application Deadline: February 15

Please Confirm*

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Application Requirements

  1. Completed application form accompanying a proposed Guide.
  2. Detailed curriculum vitae outlining the candidate’s education, clinical experience and publications (if applicable).
  3. Proposal (1000 words max.) outlining the Spasticity Management related clinical research activity the candidate plans to pursue during the fellowship period.
  4. Two (2) current letters of recommendation from physicians; and one (1) letter of invitation from the intended supervisor of the project.

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1. Full Name:*
2. Address:*
3. Phone (Day):*
4. Phone (Evening):
5. Fax:
6. Email Address:*
7. Are you a Canadian Citizen or Landed Immigrant?*
8. Medical School:*
9. Year completed medical degree:*
10. Year completed/will complete neurology residency:*
11. Clinical/research interests (please list):*
12. Who is sponsoring your application?*
13. When would you like to commence your fellowship?:*
14. How do you plan to use the Fellowship?*

Please upload files in one of the following formats: pdf, doc or docx

15. Curriculum Vitae:*
16. Proposal (1000 words max.)*
17. Letter of recommendation from physician #1:*
18. Letter of recommendation from physician #2:*
19. Letter of invitation from the intended supervisor of the project:*
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