AHRMM23 Young Professional Scholarship Application AHRMM is pleased to offer financial assistance for qualifying AHRMM members to attend AHRMM23 Conference & Exhibition in Orlando, FL from August 6-9, 2023.The scholarship opportunity is made possible by the support from Pampers.Scholarship opportunity available: Conference Registration Scholarship – Up to 4 Conference Registration Scholarships will be given for the in-person Orlando event. The scholarship covers full conference registration rate. To qualify, you must meet the requirements listed here and complete this application. Applications are due on June 23, 2023. All applicants will be notified of results no later than June 30, 2023.To apply for the scholarship:1. Complete the online application.2. Submit a letter from your CEO or supervisor that establishes financial with application. If you are between jobs, only the application is required. To become an AHRMM member, visit www.ahrmm.org/join or call us at 312-422-3840. Question Title * 1. Contact Information Name * Company * Address Address 2 City/Town * State/Province -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP/Postal Code Country Email Address * Phone Number * Question Title * 2. AHRMM Membership Number Question Title * 3. I am age 35 or under. If I am found to be falsifying my age, I understand AHRMM has the right to revoke my scholarship I confirm Question Title * 4. Are you a new member? Yes No Question Title * 5. Are you a first-time conference attendee? Yes No Question Title * 6. Are you an AHRMM chapter member? Yes No Chapter name (if applicable): Question Title * 7. Do you have your CMRP designation? Yes No Question Title * 8. Why do you require financial assistance to attend the AHRMM Annual Conference? Question Title * 9. What do you want to gain from attending the AHRMM Annual Conference? Question Title * 10. How will you share what you learn at the AHRMM Annual Conference with your colleagues? Question Title * 11. A support letter from your CEO or supervisor that establishes financial need can be uploaded here or emailed to ahrmm@aha.org after your application submission. Please include your name and member ID. PDF, DOC, DOCX file types only. Choose File Choose File No file chosen Remove File A support letter from your CEO or supervisor that establishes financial need can be uploaded here or emailed to ahrmm@aha.org after your application submission. Please include your name and member ID. Done