MN-ACP Leadership Day Travel Scholarship

MN-ACP Leadership Day Travel Scholarship-2017

The Minnesota Chapter of the American College of Physicians (MN-ACP) will award two travel scholarships to a medical student and a resident to attend the ACP Leadership Day training in Washington DC on May 23-24, 2017. You must be an ACP member and member of the Advocates for Internal Medicine Network (free for ACP members at http://www.acponline.org/advocacy/aimn/ )

ACP Leadership Day Grant Application
This application gives priority to resident/fellow, and medical student members to apply for travel grants for Leadership Day 2017. All fields must be completed.The application is due by February 28, 2017.

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* 1. Member's Name (First Name, Last Name):

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* 2. ACP Membership/Type:

Associate

Medical Student

Fellow in training

Early Career Physician

Other

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* 3. Are you a member of the ACP Advocates for Internal Medicine?

Yes

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* 4. Contact information

Residence Address:

Residence City:

Residence State:

Zip:

Phone:

Email:

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* 5. Program Director's Contact information:

Name (first and last name):

Phone:

Email:

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* 6. In 250 words or less, please describe your interests in healthcare policy advocacy, as well as any previous involvement in ACP's advocacy efforts and/or chapter activities. Please note that your statement will be reviewed in a blinded process by a review committee at MN-ACP and you will be notified shortly after the deadline.