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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. If accepted, your team will be included on the list of approved Host Sites for the 2026 Visiting Scholar application cycle (scholarship applications open in early 2025).

This application must be completed by either the Team Leader or Team Coordinator. Only ACPA Approved Teams are eligible to host a visiting scholar. Please note that some responses may be shared on ACPA's host site listing webpage as a resource for applicants.

1. Please enter your team's information below.

Team ID Number
Team Name
Institution Name
City, State/Province

2. How often does the team meet? (i.e. weekly, monthly, etc.)

3. Which days of the week does the team meet?

4. Number of Patients Seen with Cleft/Craniofacial Differences

January-March
April-June
July-September
October-December

5. Number of Cleft/Craniofacial Procedures

January-March
April-June
July-September
October-December

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)

8. Why does your team want to host a Visiting Scholar? (max 300 words)

9. What goals would you have for a visiting scholar? Are there specific techniques or practices that your site is well equipped or uniquely positioned to offer? (max of 300 words)

10. Provide an example of what a Visiting Scholar’s day would look like during a visit to your site. (max of 300 words)

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.?

Please share examples of virtual experiences your team would be able to provide the visiting scholar.