HA DPG - CSG Stipend Applications

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* 1. Please add your info

First name:

Last name:

Credentials:

Email address:

Academy #:

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* 2. Please upload your CV here.

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* 3. Please check your Academy membership category

Active member

Student member

Retired member

Life member

International and International student members

Associate member

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* 4. Years in dietetics practice:

Less than 5 years

6 - 10 years

11 - 15 years

16 - 20 years

More than 20 years

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* 5. Have you reviewed the CSG exam criteria and are you currently eligible to purchase and take the CSG exam?

Yes

I don't know

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* 6. Please include a (no more than 250-word) statement that explains how this stipend will benefit you as a Healthy Aging DPG member and also benefit Healthy Aging DPG.

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* 7. If selected to receive a CSG stipend, you must complete the course/exam and submit a short written summary of your experience for website posting or a newsletter article.
Do you agree to the above?

Yes

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* 8. By adding your name here, you acknowledge that the stipend provides reimbursement for purchase of the CSG exam.
*Access to the CSG resources is provided without a need to purchase.

HA DPG - CSG Stipend Applications

Question Title

* 1. Please add your info

Question Title

* 2. Please upload your CV here.

Question Title

* 3. Please check your Academy membership category

Question Title

* 4. Years in dietetics practice:

Question Title

* 5. Have you reviewed the CSG exam criteria and are you currently eligible to purchase and take the CSG exam?

Question Title

* 6. Please include a (no more than 250-word) statement that explains how this stipend will benefit you as a Healthy Aging DPG member and also benefit Healthy Aging DPG.

Question Title

* 7. If selected to receive a CSG stipend, you must complete the course/exam and submit a short written summary of your experience for website posting or a newsletter article.Do you agree to the above?

Question Title

* 8. By adding your name here, you acknowledge that the stipend provides reimbursement for purchase of the CSG exam.*Access to the CSG resources is provided without a need to purchase.

* 7. If selected to receive a CSG stipend, you must complete the course/exam and submit a short written summary of your experience for website posting or a newsletter article.
Do you agree to the above?

* 8. By adding your name here, you acknowledge that the stipend provides reimbursement for purchase of the CSG exam.
*Access to the CSG resources is provided without a need to purchase.