The IDSA Foundation ID Student Interest Groups program provides $500 grants to qualifying groups to fund meetings, special events, seminars and other activities. Please use the form below to apply.

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* 1. Institution Information:

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* 2. Applicant Contact Information:

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* 3. What type of institution(s) is your Student Interest Group associated with? (check all that apply)

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* 4. Name and title of your faculty sponsor. Your sponsor must be an IDSA member or working in the field of Infectious Diseases. If you do not have a sponsor please contact the IDSA Foundation via email at Foundation@idsafoundation.com

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* 5. What is the size of the Infectious Diseases department at your institution?

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* 6. How many years has your ID Student Interest Group been active?

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* 7. How many members are in your ID Student Interest Group for this semester/year and what level of medical training are they currently in? (ex. 10 total members, 5 medical students, 2 undergrad students, 3 residents)

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* 8. Please use this form to submit name and contact information for ID Group members

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* 9. Please describe the activities or specific events the $500 grant will fund.

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* 10. What is the goal of this event?

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* 11. Event meeting date/time (estimate)

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* 12. Event/meeting location (estimate)

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* 13. Number of anticipated individuals attending (estimate)

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* 14. Do you plan on having a guest speaker? If yes, please provide name and organization of the guest speaker

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* 15. Please upload your budget in the format of the below. Use this format as a guide.

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