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ADCES20 Annual Conference

 
Scholarship Award: Scholarship of $1,000 towards airfare and housing and complimentary registration to the ADCES20 Annual Conference.

 
Eligibility:
  • Applicant must be an active member of ADCES (formerly known as AADE) for at least two years at time of submission and at time of receipt of the scholarship. 
  • Applicants must be a diabetes care and education specialist in pediatrics or have experience/interest in exercise physiology.
  • Invited speakers are not eligible for scholarships.
  • Applicants are only eligible for a scholarship award once every three years.
Submission Requirements, Scoring Criteria and Important Dates:
  • Applications MUST be submitted no later than March 2, 2020. Please be sure to provide as much detail as possible in your answers
  • Scholarships will be awarded by March 31, 2020 by email.

AWARD
The award recipient will receive a complementary registration to the Association of Diabetes Care & Education Specialists (ADCES) Annual Meeting, where they will be recognized and a $1,000 travel stipend. 

APPLICATION PROCESS
Applications and supporting materials must be submitted by March 2, 2020.
All Applications must be complete to be considered.

If a confirmation has not been received by March 23, it is the applicant's responsibility to contact ADCES at awards@aadenet.org

Please include: Curriculum vitae

IMPORTANT

If you exit or "time out" of the application, you may resume completing the form using the same computer used to begin the application. However, you MUST click "SAVE/Next" for your responses on that page to be saved.

If you enter information on a page without clicking "SAVE/Next", your information will be lost.

To resume your application, simply click on the "SAVE/RESUME" button on the ADCES Award Application web page.

NOTE: Once you click "Submit" on the final page of this application, you will not be able access your application form or edit your responses.

If you have any questions please contact ADCES awards at 800-338-3633 x4888.

Submission Deadline: March 2, 2020


GENERAL INFORMATION
 

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* 1. First Name

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* 2. Last Name

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* 3. Credentials

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* 4. ADCES Member Number

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* 5. Home Address

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* 6. City/State/Zip

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* 7. Work Phone

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* 8. Home/Cell Phone

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* 9. E-Mail Address

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* 10. Employer

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* 11. Are you affiliated with a state CB or LNG?

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* 12. If Question 11 is "yes", please name

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* 13. Answer this specialist question to be considered.
Are you involved in exercise physiology?

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* 14. Answer this specialist question to be considered.
Are you involved in diabetes care and education for pediatrics?

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* 15. Answer this specialist question to be considered.
Are you involved in community diabetes care and education?

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* 16. Is this your first application for a scholarship from ADCES (formerly known as ADDE)?

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* 17. If Question 16 is "no", what years did you apply in the past?

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* 18. If you have your CDE, when are you scheduled to renew?

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* 19. Will this be your first time attending the ADCES Annual Meeting?

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* 20. If Question 19 is "no", how many ADCES Annual Meetings have you attended over the last 10 years?

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* 21. What is the number of employees dedicated to diabetes care and education in your workplace, including you?

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* 22. Have you had an abstract accepted for the upcoming Annual Meeting?

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* 23. If Question 22 is "yes", please indicate in what area.

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* 24. Does your employer assist with Annual Meeting expenses?

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* 25. If Question 24 is "yes", please indicate what your employer will pay.

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* 26. How many hours per year do you volunteer - without pay and off duty - promoting / providing diabetes education?

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* 27. List and describe examples of diabetes care and education related volunteer work (local and national) non-ADCES diabetes activities or local ADCES affiliate Coordinating Body or Local Networking Group activities and/or ADCES national activities you have been involved with over the last calendar year (January - December).  Include committee work, task forces, presentations, projects, authorship, and participation in National Diabetes Education Week, and leadership roles over the last calendar year. Activities must be voluntary and unpaid.

If additional space is required continue with Question 28.

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* 28. If needed, additional space for Question 27 above.

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* 29. What and how often are you using the recognized ADCES Diabetes Education Accreditation Program in your practice?

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* 30. What and how often are you using the AADE7 in your Curriculum?

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* 31. What and how often are you using the AADE7 Data Collection system?

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* 32. What and how often are you using the ADCES Website: Professional practice documents; Position papers; Webinars; web-based journals; Evidence Based Practice?

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* 33. What and how often are you using Art and Science of Diabetes Education?

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* 34. What and how often are you using My ADCES Network: State affiliate site, Communities of Interest?

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* 35. Please describe any specific challenges your patient population faces, wth regards to diabetes self-management.

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* 36. If applicable, describe the use of resources (such as Internet, DVDs, and special classes) that provide innovative approaches to diabetes care and education, in your practice.

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* 37. Tell us about a measurable patient outcome you hope to change, affect or improve as a result of attending this educational opportunity, list another potential benefit for your patient population.

Consent to Eligibility Requirements and Contributions

By submitting an application, I understand and agree to abide by the entry and eligibility requirements indicated.  I understand that all materials submitted in conjunction with the scholarship application will not be returned.

I agree that, if selected, highlights from the application may be used by ADCES for such purposes as sharing best practices, advertising, publicity, and promotion for or solicitation of future applications. I agree to submit a post-event testimonial (written, recorded, or video-taped) as requested in accordance with the timeline established.

I also understand that, if seleced and I fail to respond to the deadlines for submitting the necessary information to process the registration scholarship, I will forfeit receipt of the scholarship.  Staff will provide the important deadlines upon receipt and notification.

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* 38. Please upload your CV

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