Skip survey header

Visiting Scholar Program Host Site Application

Host Site Application

Complete the application below if your Approved Team is willing and able to serve as a Visiting Scholar Host Site. The next scholar site visit will take place in early 2024.

This application must be completed by either the Team Leader or Team Coordinator.
1. Please enter your team's information below.
4. Number of Patients Seen with Cleft/Craniofacial Differences
5. Number of Cleft/Craniofacial Procedures
6. How would you best describe your cleft/craniofacial team setting? (Check all that apply)
7. What specialties are the best fit to visit your team? (Check all that apply)
  • * This question is required.
11. Would your team have an interest and the ability to provide the visiting scholar with virtual experiences before and after the visit such as participation in team meetings, grand rounds, treatment planning sessions, etc.?