2019 SPLIT Coordinators Grant Application
To support the travel of SPLIT Coordinators to attend the Annual Meeting and be able to connect with a community of coordinator mentors.

This award program includes the following components:
  • Free SPLIT Annual Meeting registration
  • Grant for reimbursable travel expenses up to $750 to attend SPLIT
  • Networking opportunities at SPLIT
We will be considering candidates who are actively involved in SPLIT through committee membership and participation, wish to gain practical knowledge at the Annual SPLIT meeting, as well as have an opportunity to connect with a community of coordinator mentors. 

Application Requirements
Applicants are required to submit the following:

  1. A personal statement including current and past involvement in SPLIT, including but not limited to:
    • Committee involvement
    • Participation in QI and/or research projects and
    • Personal importance of attending the meeting
2.     Letter of recommendation from their PI or Co-PI to address:
  • What are the perceived goals for the Coordinator for attending the SPLIT Annual Meeting?
  • Please comment on the Coordinator’s current efforts within SPLIT including data entry, committee involvement, QI or research involvement and any prior meeting attendance.
Evaluation Criteria
Applications will be scored by members of the Education Committee and Chairs of the Coordinator Committee on the following criteria:

1.     Commitment to SPLIT committee involvement

2.     Involvement in QI and/or research projects within SPLIT or center

3.     Personal importance of Annual Meeting attendance

4.     PI or Co-PI support

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* 1. Please provide your contact information.

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* 2. Please select the Society memberships you currently maintain?

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* 3. Please upload your personal statement and letter of recommendation. Must be submitted with application in order to be considered.

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Applications must be received by June 14, 2019.

Saeed Mohammed, MD and Dana Mannino, RN, MSN
Co-Chairs, SPLIT Education Committee

*Award funds are transferred following the conclusion of the meeting.