ANCHASL Continuing Education Award: Spring 2019 Meeting
Please complete the following application to apply for a scholarship to attend the ANCHASL Spring 2019 Meeting, which will be held May 31, 2019 at the William E. Laupus Health Science Library at East Carolina University in Greenville, NC. Award recipients will be required to submit a brief report on their experiences via a form.

The deadline to apply is 12 PM Eastern on May 10, 2019.
Are you currently a member of ANCHASL? *
Membership is required to be eligible for an award; however, if you are not currently a member, you may join now. ANCHASL membership information and an online application link are available here:
What are your estimated total expenses for attending the Spring Meeting? *
Estimates may include registration, CE fees, meals, lodging, and transportation.
What is the distance (one way, in miles) that you will be traveling to attend the meeting? *
Please provide the distance from your current place of residence and the meeting.
Applicant Contact Information *
Name, Institution, Mailing Address, Telephone, Email
If you are currently employed, please describe your current position.
Institution, Start Date of Employment (Month/Year), Current Job Title
If you are a student applicant, please provide the following details about your current program of study.
School, Field of Study, Degree Pursued, Expected Date of Graduation
Please provide a brief (no more than one or two paragraphs) statement explaining how you would expect to benefit from receiving an ANCHASL Continuing Education Award. *
Attestation *
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