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ACP Leadership Day Grant Application

Note: This application is for early career physician, resident/fellow, and medical student members to apply for travel grants for Leadership Day 2014. All fields must be completed. For more information about the awarding of the grants, see Guidelines.

Member's Name:

ACP Chapter:

ACP Number:

Full Address:

Phone Number:

Email:

Are you a member of the ACP Advocates for Internal Medicine Network?

Yes
No

In 250 words or less, please describe your interests in healthcare policy advocacy, as well as any previous involvement in ACP’s advocacy efforts and/or chapter activities. Please note that your statement will be reviewed in a blinded process. All identifying factors such as your name, the names of others, locations, or addresses, will be deleted before your statement is reviewed by the proper member constituent council (i.e., the Council of Early Career Physicians, Council of Resident/Fellow Members or Council of Student Members).

 

Applications must be submitted by February 28, 2014.

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ACP JournalWise

Reviews of the World's Top Medical Journals - FREE to ACP Members!
New CME Option: Internal Medicine 2014 Recordings
ACP JournalWiseSM is mobile optimized with optional email alerts! Get access to reviews from over 120 of the world's top medical journals alerting you to the highest quality, most clinically relevant new articles based on your preferred areas of specialty. ACP Members register your FREE account now!

New CME Option: Internal Medicine 2014 Recordings

New CME Package
New CME Option: Internal Medicine 2014 Recordings
Includes 75 of the most popular sessions in internal medicine and the subspecialties. Stream the sessions, answer brief quizzes and earn CME credit. See details.