Phil Robinson Global Scholars Program- 2024 Question Title * 1. First Name Question Title * 2. Last Name Question Title * 3. Email Address Question Title * 4. Are you an ACR/ARP Member? (Yes/No) Question Title * 5. ACR/ARP Member Number, if applicable. Question Title * 6. Institution or employer Question Title * 7. Role/title Question Title * 8. Address (include City, Country and Post Code) Question Title * 9. Phone (XXX-XXX-XXX-XXXX) Question Title * 10. Please indicate country of citizenship. Please note-priority will be given to applicants based Low or Middle-Income Countries as determined by the World Bank Question Title * 11. Please indicate country of residence: Please note- individuals who have spent time at a US or Canadian institution for clinical or research purposes within the past 2 years are not eligible for the program. Question Title * 12. Do you have a Valid Passport? (Yes/No) Question Title * 13. Passport Expiration date. Question Title * 14. Are you a rheumatologists, rheumatology health professional or patient advocate? Rheumatologist Rheumatology Professional Patient Advocate Next