6th Annual CDCN Patient & Loved One Summit Need-Based Travel Grant Application
The CDCN works to ensure that cost is not a barrier for patients to attend the 6th Annual CDCN Patient and Loved One Summit in Philadelphia, PA. Because of this we have been able to set aside funds to assist with the costs of travel and lodging. The CDCN will only be able to award travel grants to patients and loved ones with the greatest financial need and greatest desire to expand their knowledge about Castleman disease. We have a limited number of grants to award; therefore, grants will preferentially be awarded to patients (rather than loved ones).

We kindly ask that only individuals who would not be able to attend the Summit without a need-based travel grant apply for one so that the maximum number of patients and loved ones can benefit from the Summit experience.

More Information
- Each patient may receive up to two grants, one for themselves and one for a Loved One/family member/friend.
- Each individual grant will be issued for up to $750 per individual traveling within the US and up to $1250 per individual traveling internationally.
- Patients and loved ones are responsible for paying for flight and hotel costs individually upfront and then can submit receipts to the CDCN for reimbursement up to the total amount of the grant. Reimbursement checks will be issued at the event.
- Costs associated with the Summit include travel, lodging, and food expenses. There is no cost to register for the Summit. Breakfast and lunch are provided on August 23, and lunch is provided on August 24.

Requirements
- Patients and Loved Ones must be part of our online CDCN community. If you have not already joined, please visit https://register.cdcn.org/register/patient before completing this application.
- Only hotel receipts from the Sheraton Philadelphia University City Hotel will be reimbursed. Nightly rate is $155/per night/per room.
- Hotel rooms in the group block must be reserved by Monday, July 14, 11:59 PM EST in order to receive reimbursement
- Flights must be booked by Wednesday, July 31, 11:59 PM EST in order to receive reimbursement for flight costs.

Applications are due on Monday, June 18, 2019, 11:59 PM EST. Preference will be given to first time Summit attendees.
Applicants will be notified of if they receive a travel grant by Monday, June 24, 2019.

If you have any questions, please email sophia@castlemannetwork.org.

Patient Name *
Your answer
Patient Email *
Your answer
If you are applying with a friend or family member, please provide the name of the friend or family member attending with you. (Loved One Name)
Your answer
If you are applying with a friend or family member, please provide the email address of the friend or family member attending with you. (Loved One Email)
Your answer
Mailing Address *
Your answer
Are you a member of the online CDCN community? *
If you have not already joined, please visit https://register.cdcn.org/register/patient before completing this application. All adult recipients (patients and loved ones) must be members of the community to be eligible to receive a grant.
Are you a member of the Castleman Warrior team? *
Why are you passionate about attending the Patient and Loved One Summit? *
Please describe your answer in 3 or more sentences.
Your answer
Why is it important that you receive a travel grant? *
Please describe your answer in 3 or more sentences.
Your answer
Have you been to one of the previous Patient and Loved One Summits held by the CDCN? *
The CDCN reserves the right to inquire further and/or request documentation regarding your financial circumstances in relation to this grant application. *
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