Instructions and Notes

The 12th Annual National Conference of Caregiver Advocates
Aging in America: Annual Conference of the American Society on Aging
March 26, 2018 – San Francisco, California

**Applications are for the coalition and not restricted to the specific applicant.  Scholarships include funding of up to $1,500 (reimbursement for registration, hotel/travel costs, and per diem) to attend our conference on March 26, 2018.  Travel reservations must be made no later than January 26, 2018.  Priority will be given to organizations that have not received scholarships in the last two years. 

For questions, please contact the National Alliance for Caregiving’s Director of Advocacy, Mike Wittke at mike@caregiving.org or (301) 718-8444.

* 1. Coalition Representative First and Last Name

* 2. Your City, State, and Zip

* 3. Best email and Phone Number to Reach You

* 4. Coalition Name

* 5. Please describe the recent advocacy or other activities of your coalition to advance family caregiving in your community. In what ways were your activities successful or not? Please explain.

* 6. Have you done innovative programming to advance the awareness of caregiver issues in your community? If so, please describe and include the estimated number of caregivers you reached.

* 7. What do you hope to gain from participating in the conference?

* 8. The Alliance has a Group Registration Rate for the ASA Conference (you must register for the full conference to attend our event). If you are not selected for a scholarship, would you still want to take advantage of our Group Registration Rate? (Please note: The Alliance will invoice your organization for the registration fee unless you are selected for a scholarship.)

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