Cross Fellowship Award

DJO Global, Inc., a global provider of medical device solutions for musculoskeletal health, vascular health and pain management, has established The DJO Cross Fellowship Award program in honor of its former Chief Executive Officer, Les Cross.

Through the Cross Fellowship Award, DJO Global will award funding for orthopedic fellowship programs and athletic training residency programs. The current open application period will award funding for the 2012-2013 and 2013-2014 academic years. As a committed, long time supporter of orthopedic innovation, education and patient care, DJO Global is pleased to recognize programs that provide highly trained, skilled medical professionals who are able to deliver quality patient care in a broad range of clinical settings.

Athletic Training Residency Program Information - 2012 Application Period is Closed

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Physician Fellowship Program Information

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Athletic Training Residency Program Information - 2012 Application Period is Closed

IMPORTANT PROGRAM INFORMATION

The current open application period will award funding for the 2012-2013 and 2013-2014 academic years.

Applications must be received by DJO by April 15, 2012 (no exceptions will be granted).

Notifications of award will be made as soon as possible, however no later than May 18, 2012. Please do not contact DJO prior to this date for the status of your application. Please check junk/spam email folders prior to contacting DJO.

Any submission that fails to meet the application requirements may be disqualified. It is the submitter's sole responsibility to ensure the application is complete. Due to time constraints and application volume, DJO will be unable to notify the submitter of missing documentation that may lead to disqualification.

Program Contact Information

DJO Professional Relations Committee
1430 Decision Street
Vista, CA 92081
Phone: 760.597.3925
Fax: 760.597.3487
Email

The completion or submission of an application in no way guarantees funding.

I Cross Fellowship Award Policies

Objective:

The objective of the DJO Cross Fellowship Award is to fund post-professional physician extender athletic training residency programs.

Eligibility:

• Institution's residency program must be for a minimum of twelve (12) months.
• Institution's residency program director must be a certified athletic trainer AND, if applicable, must be credentialed in his/her state of practice.
• Any academic institution or group practice with an established orthopaedic program that qualifies as a nonprofit, charitable entity may apply. A for-profit entity is not eligible unless affiliated with a nonprofit entity. DJO will make all grant payments to the nonprofit affiliate. As currently structured, the program does not include funding for individual residents seeking support for their training; these grants are available only to institutions that provide post-professional training.
• The Residency Program Director must complete and sign the appropriate Conflict of Interest Disclosure included in this application.

Award Selection:

In the event that the number of eligible applicants exceed the amount of available funding, the eligible applicants will be selected through a randomized process.

Deadline for Application:

April 15, 2012. This is the DUE DATE not the postmark date.

Funding Period:

Two (2) academic years beginning August 2012 (expiring July 2014).

Available Grants:

Grants of up to $35,000 may be awarded. Grant amount will be determined by available funding. The grant is intended to partially cover the stipend for the resident and related direct costs. Grant funds may not be used for indirect costs.

Notification of Award:

• DJO will notify each applicant, whether or not they were granted an Award, via an email to the Residency Program Director, as early as possible, but not later than May 18, 2012. All notification emails will be sent to the address listed in item 4b of the application.
• Please do not contact DJO prior to May 18, 2012 for the status of your application. Please check junk and spam folders before you contact DJO.

Publication:

• DJO encourages free publication of research findings by residents but requires that the following acknowledgement be used as a footnote on the first page of the text: AIDED BY A GRANT FROM DJO GLOBAL, INC.
• Also, when a resident presents a paper at a professional scientific meeting, the above credit line must be included.
• DJO should be sent reprints of all papers and publications resulting from work done under a residency program, even those that appear after the residency program has ended.

II Application Completion And Submission Instructions

Completion Instructions:

• Table of Contents - When you have completed your application, please complete a Table of Contents by sequentially numbering the pages on the bottom right of each page. Please DO NOT submit the cover page, general information, program information, guidelines, or instruction pages in your application submission.
• Items 1-6 - Please include all information as requested.
• Item 7 - Please include all information as requested and submit a description of the program’s design and curriculum. Please see page G1 for content requirements.
• Item 8 - Budget Information
  • Provide all information requested.
  • Provide a detailed budget of direct expenses. Allowable expenses are the resident's stipend and benefits, research expenses, educational expenses (travel and registration fees to nationally recognized meetings/courses; books), licenses, malpractice insurance, etc.
  • Provide justification for each budget category.
  • Applicant may not use Award for indirect costs.
• Other Requirements
  • All signatures must be present as requested. No "Per" signatures accepted.

Supporting Documentation Requirements:

• Completed W-9 (by the payee).
• Detailed budget outlining residency DIRECT EXPENSES only (grant funding must be used for direct costs only).
• Residency Program Director Curriculum Vitae.
• The Conflict of Interest Disclosure (final page of the application) must be signed by the Residency Program Director.
• IRS Non-profit Status Determination Letter (PDF file is acceptable).
• Program Description - Must include program's mission, vision, core competencies, goals and a list of preceptors (MD and ATC) that support the program. Maximum of five (5) pages.
• Program Curriculum - Must describe the clinical rotations, didactic opportunities and additional educational and training opportunities. Maximum of five (5) pages.

Submission Instructions:

Delete guidelines and instructions before saving the application for submission. Submissions are accepted via email, fax or US mail.

• Complete and submit an application, including all required supporting documentation.
• Applicant must submit the current version of this application.
• Original application (with signatures) must arrive to DJO by the April 15, 2012 deadline.
  • Via email to: CrossFellowship[at]DJOGlobal[dot]com
  • Via fax to: 760.597.3487
  • Via US Mail:
    DJO Global, LLC
    1430 Decision Street
    Vista, CA 92081
    Attn: Cross Fellowship Award/PRC
    If submitting via US mail the original application must be clipped, not stapled, single sided and single spaced.

III    Fiscal Policies And Reports

• Residency grants must be used in the year for which it is awarded. Example: $35,000 may be granted for the 2012-2013 academic year and $35,000 for the 2013-2014 academic year. The $35,000 awarded for the 2012-2013 academic year MUST be used in the 2012-2013 academic year; funds are NOT eligible for roll-over to the 2013-2014 academic year.
• Grant payments will be made as follows: 50% at the start of the residency (August 1), 40% in January (start of second semester), and the final 10% after final reports are received by DJO (and are of acceptable content) for each academic year.
• A financial report is required within sixty (60) days of the end of the residency program (each academic year).
• A final report is required to be submitted by the Residency Program Director describing the residency training experience. This report is due within sixty (60) days of the end of the residency program (each academic year).
• Ten percent (10%) of the award funds will be withheld until the final report of expenses and the final report from the Residency Program Director are received by DJO. Upon receipt of all reports withheld funds will be sent to the grantee institution.
• Funding for an Award by DJO cannot be duplicated by any other outside funding source. If the institution receives funding from another source for an athletic training residency program supported by a DJO Award in excess of the resident's direct costs, the Residency Program Director must notify DJO immediately and return the excess funding to DJO or the other funding organization. Notification of excess amount refunded and to whom the refund was sent must promptly be sent to CrossFellowship[at]DJOGlobal[dot]com.
• At the end of each academic year any unexpended balance of $100 or more must be refunded to DJO within sixty (60) days together with the report of expenditures and accompanying documentation, properly submitted. Please note funds intended for the 2012-2013 academic year may not be used for expenses for the 2013-2014 academic year. All expenses and grant fund "true-ups" must be completed each academic year.
• All final reports may be submitted electronically via email to CrossFellowship[at]DJOGlobal[dot]com or via fax to 760.597.3487.
• Separate accounts must be maintained for each residency grant. These accounts, with substantiating invoices and payrolls, must be available at all time to representatives of DJO.
• Grantee may terminate a grant prior to normal expiration date by notifying DJO in writing and stating the reasons for termination. Unexpended funds must be returned to DJO within sixty (60) days, together with a final report of expenditures. DJO reserves the right to terminate grants at any time upon written notice.
• DJO reserves the right to deny additional residency grants and/or payments of awards already granted to any institution where after proper notification, a Residency Program Director has not submitted his/her final reports, and/or the financial officer has not submitted the final report of expenses as required by DJO.
• Each institution granted an Award will be required to sign an agreement that outlines the terms and conditions of the award and confirms the payment schedule.

Physician Fellowship Program Information

IMPORTANT PROGRAM INFORMATION

The current open application period will award funding for the 2012-2013 and 2013-2014 academic years.

Applications must be received by DJO by May 31, 2012 (no exceptions will be granted).

Notifications of award will be made as soon as possible, however no later than June 29, 2012. Please do not contact DJO prior to this date for the status of your application. Please check junk/spam email folders prior to contacting DJO.

Any submission that fails to meet the application requirements may be disqualified. It is the submitter's sole responsibility to ensure the application is complete. Due to time constraints and application volume, DJO will be unable to notify the submitter of missing documentation that may lead to disqualification.

Program Contact Information

DJO Professional Relations Committee
1430 Decision Street
Vista, CA 92081
Phone: 760.597.3925
Fax: 760.597.3487
Email

The completion or submission of an application in no way guarantees funding.

I Cross Fellowship Award Policies

Objective:

The objective of the DJO Cross Fellowship Award is to fund post-graduate fellowship training in orthopaedics. Fellowship support is offered for orthopaedic training in the practice categories of Sports Medicine, and Shoulder and Elbow. Applications are limited to one fellowship grant per practice category per application period.

Eligibility:

• Institution’s fellowship program must be in the areas of Sports Medicine or Shoulder and Elbow.
• SPORTS MEDICINE fellowship programs MUST be ACGME accredited to be eligible for funding.
• SHOULDER AND ELBOW fellowship programs are NOT required to be ACGME accredited to be eligible for funding.
• Both Sports Medicine and Shoulder and Elbow fellowship programs must have a minimum of three (3) fellowship positions in each of the funding years.
• Institution's fellowship program must participate in AOSSM's Sports Medicine or ASES' Shoulder and Elbow Fellowship Match program (as applicable).
• Any academic institution or group practice with an established orthopaedic program that qualifies as a nonprofit, charitable entity may apply. A for-profit entity is not eligible unless affiliated with a nonprofit entity. DJO will make all grant payments to the nonprofit affiliate. As currently structured, the program does not include funding for individual fellows seeking support for their training; these grants are available only to institutions that provide fellowship training.
• A program must have been established for a minimum of one (1) year to be eligible to apply for the Cross Fellowship Award; at least one fellow must have completed the fellowship training program. A new program may apply in their second year for a grant in the third year of their program. The three (3) fellow minimum requirement shall apply for funding year(s) only; the program need not have three (3) fellows in its first two (2) years.
• Institutions may apply for one fellowship grant per category only per application period. For example one application may be submitted for Sports Medicine and a separate application may be submitted for Shoulder and Elbow.
• The Fellowship Program Director or Department Chair must complete and sign the appropriate Conflict of Interest disclosure included in this application.

Award Selection:

In the event that the number of eligible applicants exceed the amount of available funding, the eligible applications will be selected though a randomized process. Organizations may receive more than one fellowship grant based on the outcome of the random selection process. However, organizations are limited to one Award per category per application period.

Deadline for Application:

May 31, 2012. This is the DUE DATE not the postmark date.

Funding Period:

Two (2) academic years beginning August 2012 (expiring July 2014).

Available Grants:

Fellowship grants of up to $25,000 may be awarded. Grant amount will be determined by available funding. The grant is intended to partially cover the stipend for the fellow and related direct costs. Fellowship grant funds may not be used for indirect costs.

II  Application Completion And Submission Instructions

Completion Instructions:

• Table of Contents - When you have completed your application, please complete a Table of Contents by sequentially numbering the pages on the bottom right of each page. Please DO NOT submit the cover page, general information, program information, guidelines, or instruction pages in your application submission.
• Items 1-11
  • Please include all information as requested.
  • Please choose the practice category for which you are applying for fellowship support. An institution may apply for one Award per category per open application period (every two years). Complete a separate application for each fellowship Award requested.
• Item 12 - Fellowship Program Faculty. Please submit the Curriculum Vitae for each faculty member associated with the fellowship program. Please include their fellowship position title.
• Item 13 - Fellowship Research Information - Please provide requested information.
• Item 14 - Budget Information
  • Provide all information requested.
  • Provide a detailed budget of direct expenses. Allowable expenses are the fellow's stipend and benefits, research expenses, educational expenses (travel and registration fees to nationally recognized meetings/courses; books), licenses, malpractice insurance, etc.
  • Provide justification for each budget category.
  • Applicant may not use Award for indirect costs.
• Other Requirements
  • All signatures must be present as requested. No "Per" signatures accepted.

Supporting Documentation Requirements:

• IRS Tax-Exemption Determination Letter (of nonprofit). If a for-profit entity, attach copy of letter of affiliated nonprofit entity.
• Completed W-9.
• Detailed budget outlining fellowship direct expenses only (grant funding must be used for direct expenses only).
• Faculty Curricula Vitarum.
• Completed/signed Conflict of Interest Disclosure Form.

Submission Instructions:

Delete guidelines and instructions before saving the application for submission. Submissions are accepted via email, fax or US mail.

• Complete and submit an application, including all required supporting documentation.
• Applicant must submit the current version of this application.
• Original application (with signatures) must arrive to DJO by the May 31, 2012 deadline.
• Via email to: CrossFellowship[at]DJOGlobal[dot]com
• Via fax to: 760.597.3487
• Via US Mail: DJO Global, LLC
  1430 Decision Street
  Vista, CA 92081
  Attn: Cross Fellowship Award/PRC
  If submitting via US mail the original application must be clipped, not stapled, single sided and single spaced.

Notification of Award:

DJO will notify each applicant, whether or not they were granted an Award, via an email to the Fellowship Director, as early as possible, but not later than June 29, 2012. All notification emails will be sent to the address listed in item 6b of the application. Please check junk/spam folders prior to contacting DJO.

Publication:

• DJO encourages free publication of research findings by fellows but requires that the following acknowledgement be used as a footnote on the first page of the text: AIDED BY A GRANT FROM DJO GLOBAL, INC.
• Also, when a fellow presents a paper at a professional scientific meeting, the above credit line must be included.
• DJO should be sent reprints of all papers and publications resulting from work done under a fellowship, even those that appear after the fellowship has ended.

III Fiscal Policies And Reports
 

• Grant payments will be made as follows: 50% at the start of the fellowship (August 1), 40% in January (start of second semester) and the final 10% after final reports are received by DJO (and are of acceptable content) for each academic year.
• A financial report is required within sixty (60) days of the end of each academic year of the fellowship.
• A final report is required to be submitted by the Fellowship Director describing the fellowship training experience. This report is due within sixty (60) days of the end of each academic year of the fellowship.
• Ten percent (10%) of the award funds will be withheld until the final report of expenses and the final report from the Fellowship Director are received by DJO. Upon receipt of all reports withheld funds will be sent to the grantee institution. DJO must receive the reports for the first academic year prior to any funding for the second academic year being paid.
• Funding for an Award by DJO cannot be duplicated by any other outside funding source. If the institution receives duplicate funding from another source for a fellowship supported by a DJO Award in excess of the fellow's direct costs, the Fellowship Program Director must notify DJO immediately and return the excess funding to DJO or the other funding institution. Notification of excess and amount refunded and to whom the refund was sent must promptly be sent to CrossFellowship[at]DJOGlobal[dot]com.
• At the end of each academic year any unexpended balance of $100 or more must be refunded to DJO within sixty (60) days together with the report of expenditures and accompanying documentation, properly submitted. Please note funds intended for the 2012-2013 academic year may not be used for expenses for the 2013-2014 academic year. All expenses and grant fund "true-ups" must be completed at the conclusion of each academic year.
• All final reports may be submitted electronically via email to CrossFellowship[at]DJOGlobal[dot]com or via fax to 760.597.3487.
• Separate accounts must be maintained for each fellowship grant. These accounts, with substantiating invoices and payrolls, must be available at all times to representatives of DJO.
• Grantee may terminate a grant prior to normal expiration date by notifying DJO in writing and stating the reasons for termination. Unexpended funds must be returned to DJO within sixty (60) days, together with a final report of expenditures. DJO reserves the right to terminate grants at any time upon written notice.
• DJO reserves the right to deny additional fellowship grants and/or payments of fellowship awards already granted to any institution where after proper notification, the Fellowship Director has not submitted his/her final report and/or the financial officer has not submitted the final report of expenses as required by DJO.
• Fellowship grants must be used in the year for which it is awarded. Example: $25,000 may be granted for 2012-2013 academic year and $25,000 for the 2013-2014 academic year. The $25,000 awarded for the 2012-2013 academic year MUST be used in the 2012-2013 academic year; funds are NOT eligible for roll-over to the 2013-2014 academic year.
• Each institution granted an Award will be required to sign an agreement that outlines the terms and conditions of the award and confirms the payment schedule.