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As an organization, the AC Forum is working to increase awareness and promote diversity in our leadership, membership, and programming. As part of this initiative, AC Forum is pleased to offer scholarships to our Boot Camp program to support the ongoing education of clinicians from underrepresented racial and ethnic groups.

Scholarships will be awarded to candidates who best illustrate the desire to further their professional knowledge in the field of antithrombotic therapy.

Additional Information
  • If applying for a scholarship, please do not register for the event until after the award notification date. Notification of awards will be given prior to the registration deadline.
  • Incomplete applications will not be considered
  • Prior scholarship winners will be considered only after all other applicants


Our 2022 Boot Camp is a compact 2-day virtual meeting with 30-day extended access, that includes a comprehensive curriculum that covers the essential aspects of anticoagulation, disease state, and drug management. Engaging discussion around quality improvement, new agents, and special situations will benefit all practitioners and “chalk talks” (live & recorded for ongoing access) will allow for attendee participation to shape the topics.

Applicants must be clinicians from underrepresented racial and ethnic groups within the field of antithrombotic therapy.

Scholarship Award:
  • Complementary registration to Boot Camp ($249 value)
  • Multiple awards available 
Boot Camp will take place via a virtual live broadcast on October 7 & 8, 2022 , with 30-day extended viewing access until November 7, 2022.

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* 1. Contact Information:

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* 2. Race/Ethnicity:
Which categories best describes you?

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* 3. Description of Professional Responsibilities (number of patients, clinical setting, etc.)

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* 4. Personal Statement:
In 300 words or less, please explain why you want to attend the AC Forum Boot Camp and describe what you would take away from the experience.

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