This application is used to determine eligibility and prioritization for CPA graduate student travel funding related to attendance at CPA Lobby Day. Funding is limited and awarded in accordance with CPA’s Graduate Student Travel Funding Policy, posted on the CPA Lobby Day Webpage. Submission of this application does not guarantee reimbursement.

You must complete this application no later than end of day Friday February 20th for consideration.

You must be a CPA Member and have registered for Lobby Day in order to be eligible for funding. If you have not registered already please register at https://www.cpapsych.org/event/2026LobbyDay
Section 1: Applicant Information

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* 1. Full Name

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* 3. Phone Number

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* 4. Are you a CPA Member (You must be a CPA member to attend Lobby Day and receive reimbursement)

Section 2: Graduate Student Status

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* 5. Graduate Program / Institution

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* 6. 6. Degree Program

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* 7. Graduate Student Attestation

Section 3: Lobby Day Attendance Commitment
Failure to attend both days will result in ineligibility for reimbursement.
Section 4: Regional Classification

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* 8. County of Primary Residence or Primary Graduate Training Location (This will determine the funding eligibility cap)

Section 5: Preference Category – State-Operated Health Facilities

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* 9. State-Operated Health Facility Preference

Help text:
State-operated health facilities include California state prisons and California state hospitals.

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* 10. If applicable, briefly describe your training or career plans (optional):

Section 6: Travel Funding Acknowledgement

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* 11. Travel Funding Acknowledgement

Section 7: Final Attestation

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* 12. Final Certification

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* 13. I certify that all information provided in this application is accurate and complete to the best of my knowledge.

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* 14. Electronic Signature (Typed Full Name)

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* 15. Date

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