NYSSOS 2025 Annual Meeting - Travel Scholarship Request

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* 1. Applicant Information

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* 2. Email

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* 3. Current Year in Training

PGY-1

PGY-2

PGY-3

PGY-4

PGY-5

Fellow

Medical Student

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* 4. Have you submitted an abstract to this conference?

Yes

No

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* 5. Are you seeking...

Registration Support

Travel Support

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* 6. Will you receive any other travel funding for this event?

Yes

No

If yes, please share amount and source

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* 7. What do you hope to gain from attending this conference? (Max 250 words)