ASC Conference Stipend Application
Please begin by acknowledging the statement below. Nothing will be recorded until you click "submit" on the next page.
By typing my name below, I sign that I have read the above eligibility and limitation information and am eligible to the best of my knowledge. I affirm that I will only use any funds granted for the appropriate purposes outlined above, and that I will return any unused portion of funds granted.
Type name as signature.
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