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We are dedicated to advancing the long term development, health and well-being of the oral and maxillofacial surgery specialty and the public it serves through financial support of research and education.

+ Research & Fellowship Awards > Progress Report

Progress Report

Required fields are marked with *
1.First Name* 
2.Middle Initial
3.Last Name* 
4.Suffix*
5.Institution at time of award* 
6.What is your current Academic Title?* 
7.Current Institution if Different than above
8.Current Address* 
9.Current Address Line 2
10.Current City* 
11.Current State*
12.Current Zip* 
13.Current Phone* 
14.Current Fax* 
15.Current Email* 
16.OMSF Award*
17.Other
18.Award Funding Year*
19.Title of the project for which you were funded?
20.What was the dollar amount of funds granted by OMSF?* 
21.How many publications have been generated directly or indirectly from your award?*
22.List publications:
23.How many presentations have been generated from your award?*
24.Where have you presented?
25.Have you acquired additional funding or resources as a result of your OMSF Award?*
26.How much additional funding have you acquired as a result of your OMSF Award?* 
27.Have there been any patents, copyrights or royalties generated as a result of your Award?*
28.Please list any patents, copyrights, or royalties generated
29.Has your OMSF award impacted your career?*
30.How has your OMSF award impacted your career?
31.Other
32.How has your award impacted the specialty of Oral & Maxillofacial Surgery?* 
33.Have other Oral & Maxillofacial Surgeons become involved in your research or education as a result of this award?*
34.What strengths, weaknesses or suggestions do you have in regard to this award?* 


9700 W. Bryn Mawr Avenue   Rosemont, IL 60018   Phone: 847.233.4304   Fax: 847.678.6254   Email: omsf@aaoms.org