Scholarship Application

NO MORE SCHOLARSHIPS AVAILABLE

Lyme & Other Tick-Borne Diseases: 20th Annual Scientific Update for Clinicians & Researchers

If you DO NOT meet the below eligibility requirements, PLEASE DO NOT APPLY.

Who is eligible to apply

Medical student; resident; post-doctoral candidate; fellow;  nurse practitioner candidate; doctor or nurse practitioner new to practice, i.e., less than 5 years experience; veterinarian with equivalent status to the aforementioned; physician assistant whose sponsoring physician writes a letter of support on office letterhead;  representative from a public health department.

What is the scholarship for

To enable participation in the LDA/Columbia CME Conference  “Lyme Disease Association’s 20th annual  Lyme & Other Tick-Borne Diseases Scientific Conference”  (September 21 & 22, 2019, Philadelphia, PA)

Why is this scholarship being provided

Our goal is to disseminate knowledge to the above eligible categories so they can learn from leading scientists and clinicians about the progress in Lyme & tick-borne diseases. Such knowledge stimulates novel research ideas, forges collaborations, and enhances clinical care.

Deadline

LDA must receive the application from you by August 1, 2019 to be considered for a scholarship. Applicants will be considered on a first come first serve basis until the funds are depleted.

How will the scholarships be awarded

Scholarships will be awarded at the sole discretion of the Lyme Disease Association, Inc. (LDA). If the information you provided is found subsequently to be untrue, you will be required to reimburse the LDA for the full cost of the scholarship award.

How will the scholarship will be administered

The LDA will notify you of its decision.  If you are accepted, detailed instructions will be sent to you.  Reimbursement policies will be sent to you at the time of acceptance.

Total of scholarship including registration fee, hotel, and transportation will not exceed $1,000. ALL expenses are incurred by you upfront for conference registration, hotel and transportation.  Accepted applicants will need to submit an LDA reimbursement form with all receipts attached after the conference to receive eligible reimbursement up to $1,000.

How to Apply

Submit the following documentation to certify your eligibility for this scholarship:

1. Verify identity:
   • ID card from the institution/practice/health dept. in which you are attending/employed OR
   • Letter on institution/practice/health dept. stationary signed by the department chair, dean, faculty mentor/member who knows you the best, doctor or director. His/her contact information should be included.
2. Personal W-9 (don’t forget to sign and date it)
3. The online application form below and required documents you will upload must be received by August 1, 2019 (12M ET). Questions email [email protected]

THANK YOU!
This activity is supported by independent educational grants from:

Steven & Alexandra Cohen Foundation

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