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Patient Scholarship to Attend the 14th Annual Virtual Conference on the Science of Dissemination and Implementation in Health
Please complete the information below to request a patient scholarship to attend the 13th Annual Virtual Science of D&I Conference
Submission Deadline: Friday, October 16, 2020 at 5:00 p.m. ET
Scholarship Notifications: Recipients will be notified by email in early November
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Last Name
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How would you describe your ethnic identity?
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Organizational Affiliations: Please list any relevant advocacy organizations (patient, consumer, condition, etc.) of which you are a member, and any leadership positions held.
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Have you previously attended the Science of D&I Conference?
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Statement of Interest (250 words): How do you anticipate that the Science of D&I Conference will help to advance your personal and professional goals?
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Please describe your experience with health research engagement. This may include involvement in research projects, capacity building initiatives, or other professional activities (e.g. advisory panel membership, organizational committees, etc.).
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