Statewide CSU Institute for Palliative Care Conference Scholarship Application (October 2019)

National Symposium for Academic Palliative Care Education and Research

The CSU Institute for Palliative Care at CSUSM is accepting applications for scholarships from current CSUSM faculty to attend the the 2018 National Symposium for Academic Palliative Care Education and Research. The National Symposium is presented by the system-wide CSU Institute for Palliative Care; as a campus partner we are committed to supporting palliative care education and research for CSUSM faculty across disciplines. The conference will be held at the Sheraton San Diego Hotel and Marina on October 11th and 12th.

CSUSM FACULTY SCHOLARSHIP APPLICATION DEADLINE: Thursday, September 19, 2019 by 5:00 p.m.

AWARD NOTIFICATION: On or before Tuesday, September 24, 2019.

Successful scholarship applicants will have their registration paid in full.

Additionally, all are encouraged to submit applications to our professional development grant program to obtain additional funding for travel. Professional Development Grant applications are due Sept. 26, 2019; contact ipc-csusm@csusm.edu for more information.

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* 1. Applicant Name:

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* 2. Title:

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* 3. CSUSM Office Phone:

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* 4. CSUSM E-Mail:

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* 5. Department:

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* 6. Department Chair Name:

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* 7. Department Phone Extension:

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* 8. Describe how attending this conference will contribute to your professional development and/or research in Palliative Care (200 word max).

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* 9. Would you like to receive CME/CE credit for this conference?

Yes

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* 10. If you are selected to receive a scholarship, you will submit a short final report by November 11th. (Typing your name in the text box indicates you will submit a report if you are selected.)

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* 11. Today's date:

Date

Thank you for your application! If you have any questions please contact Shannon Honour, Operations and Grants Analyst at ipc-csusm@csusm.edu or x 3550.