Loeb Teaching Fellowship Application Loeb Teaching Fellowship Application First Name * Last Name, Suffix * Email * Department * Project Title * Project Goals: What do you hope to achieve? * Desired Outcomes: What are desired short and long term outcomes of the project? * Fellowship Goals: State the personal career goals you plan to achieve if selected as a fellow. How will this project and/or the Loeb fellowship help you achieve those goals? * Statement of Need: Why is the project important? How does it fit into existing programs? How does it relate to the current educational literature? * Project Description: Include the who, what, when, where and how of the project. Explain how you will complete the project in 2 years with the time protected from the Loeb Fellowship. Will the time be enough and how will it be used to carry out the project? * Project Evaluation: State how you plan to evaluate the project and how you will demonstrate that goals are achieved. * Project Sustainability: State the sustainability plan of the project once the fellowship has concluded. * Curriculum Vitae: Please include information on your clinical care and teaching excellent/experience. * Drop a file here or click to upload Choose File Maximum file size: 51.2MB Please upload a letter from your department chair(s) that outlines and approves the delineation of time to be made available to you to pursue your Loeb Fellowship teaching activities. (This is not a letter of recommendation.) * Drop a file here or click to upload Choose File Maximum file size: 51.2MB If you are human, leave this field blank. This form is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply. Submit Δ