2024 The Science of Alzheimer’s & Infectious Diseases Symposium Travel Scholarship Application Form

Travel Reimbursement Scholarship Form

The Infectious Diseases Society of America Foundation will reimburse recipients of this scholarship up to $1500 in travel costs to attend The Science of Alzheimer’s & Infectious Diseases Symposium at IDWeek 2024.

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* 1. Name

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* 2. Email

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* 3. Phone Number

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* 4. Address

Address

Address 2

City/Town

State

ZIP/Postal Code

Country

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* 5. InstitutionInformation

College or University

Department

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* 6. Have you submitted a presentation abstract for the meeting?

Yes

No, I am not planning to submit an abstract

No, but I intend to submit an abstract

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* 7. I confirm that the information in this application is accurate to the best of my knowledge

I confirm