2023 STS Advocacy Conference Scholarship Application

Webform

NOTE: This event will take place in-person in Washington, DC

STS is offering a limited number of scholarships for members to attend the 2023 STS Advocacy Conference on October 17–18. Scholarships will cover reasonable travel, hotel, and meal expenses (2 days/1 night).

To apply, complete this form and upload a current copy of your CV by Friday, June 30. Award decisions will be communicated in July, prior to the closing of the conference registration period.

First Name

Last Name

Preferred Email

Confirm Email

Mobile Phone

Home Address

Street 1

Street 2

City

State/Province

ZIP/Postal Code

Country

(Important: this address will be used as the basis for scheduling your congressional meetings – please let advocacy staff know if this changes)

Work Address

Street 1

Street 2

City

State/Province

ZIP/Postal Code

Country

I am a

Select Primary Practice Setting

Select Primary Discipline

Have you participated in the STS Advocacy Conference before?

Yes

Have you signed up to be an STS Key Contact?

Yes

Please briefly describe why you believe you should receive this award.

What do you hope to gain from attending the STS Advocacy Conference?

Discuss any advocacy or health policy issue that you are personally passionate about.

Please upload a copy of your CV:

Choose File

One file only.
8 MB limit.
Allowed types: pdf, doc, docx.

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