Second Annual San Diego Professional Palliative Care Conference | Friday, June 23, 2017

Welcome to the CSUSM Faculty Professional Development Scholarship Application for the Second Annual San Diego Professional Palliative Care Conference. Our 2017 theme is "Palliative Care: A Cloak of Many Colors". This conference will take place from 8:00 a.m.-5:00 p.m. on Friday, June 23rd, 2017 in the USU here at CSUSM. The CSU Institute for Palliative Care at CSUSM and the San Diego Coalition for Compassionate Care are very excited to be hosting this event, as it will provide an opportunity for local professional health care providers to come together and discuss palliative care in San Diego county. Last year we had a great slate of presenters from a variety of health care professions and this year's conference is shaping up nicely. We will be announcing our keynote and slate of speakers in February 2017. Please stay tuned! Our end goal is to decrease suffering, improve quality of life and improve quality of care for all seriously ill patients and their loved ones. 

CSUSM FACULTY APPLICATION DEADLINE:  Monday, June 5, 2017 at 5:00 p.m. 
AWARD NOTIFICATION:  On or before Monday, June 12, 2017 

Special Note: If you or your students would like to be considered as a presenter (45 min breakout session, panelist or poster session), please visit the conference website and complete the Presenter Application. www.csusm.edu/palliativeconference. Presenters receive a 25% discount on conference registration. CSUSM Faculty accepted to present at the conference may still apply for this full-ride conference scholarship. 

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* 1. Applicant Name:

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* 2. Title: 

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* 3. CSUSM Office Phone:

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* 4. CSUSM E-Mail: 

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* 5. Department:

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* 6. Department Chair Name:

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* 7. Department Phone Extension:

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* 8. Describe how attending this conference will contribute to your professional development and/or research in Palliative Care (200 word max).

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* 9. Which of the following conference topics are you most interested in exploring? (check all that apply) And Why?

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* 10. Would you like to receive CME/CE credit for this conference?

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* 11. Please type your first and last name below to acknowledge you understand the following information: 
   
       1. If awarded a Professional Development Scholarship you agree to attend the full day conference from 8 a.m. - 5 p.m. on Friday, June 23, 2017. 

       2. All CSUSM Faculty are eligible to apply (tenure, adjunct, lecturer, full or part-time). First priority will be given to applicants who have not yet received professional development funds from the CSU Institute for Palliative Care at CSUSM.

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* 12. Today's date:

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Thank you for your application! If you have any questions please contact Lisa at llipsey@csusm.edu or x 3550.

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