16th International Conference of the Society for Integrative Oncology Patient Advocate Scholarship Application
SIO is conducting its 16th International Conference October 19-21, 2019 in New York City.

Limited patient advocacy scholarships are available to participate in a special pre-conference workshop, “Sleeping Well After Cancer: Translating Patient-Centered Research Into Practice,” and attend the entire 16th International Conference.

Please read the Scholarship Eligibility Criteria before completing this application. To apply, email this completed application along with a letter of reference to info@integrativeonc.org. Applications will be accepted until 11:59 p.m. Eastern Time on Friday, August 16, 2019. Scholarship recipients will be announced August 30, 2019.

Email address *
Provide full name, address, phone number and email address (all fields are required).
Name
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Address
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Phone Number (with area code)
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Email address
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Have you had a cancer diagnosis? *
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1. Please briefly describe your financial circumstances and your need for a scholarship to attend the 16th International Conference of the Society for Integrative Oncology.
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2. Please list the advocacy organization(s) you are currently affiliated with and your role within the organization(s). Also state if the organization is a not-for-profit and tax-exempt.
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3. Will you be able to attend the pre-conference workshop, “Sleeping Well After Cancer: Translating Patient-Centered Research Into Practice,” from 7:45-11:45 a.m. ET, and the entire 16th International Conference (the conference begins at 1 p.m. ET on Saturday, October 19, 2019 and ends at 5 p.m. ET on Monday, October 21)? For reference, the program is posted on the conference website.
If no, indicate reason.
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4. If you are awarded a scholarship, do you agree to provide a brief article (500 words) by November 29, 2019, highlighting the assigned session attended? The submitted article may later be posted on the web and to media outlets. The article will summarize one presentation in lay-terms and include your overall experience in attending SIO2019.
5. Do you agree to complete pre- and post-workshop surveys, as well as conference evaluations by the necessary deadlines?
6. Briefly state your expectations of the pre-conference workshop, including what you intend to gain, how it will enhance your advocacy role(s) and ability to serve people with cancer, and how you will share/disseminate what you learn about sleep management with your communities.
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7. I agree to email a reference letter from a health care professional or advocate indicating my experience in patient advocacy (including research advocacy, public policy/legislative advocacy, and/or cancer patient support as relevant) to info@integrativeonc.org.
8. Briefly share your experience in patient advocacy (including research advocacy, public policy/legislative advocacy, and/or cancer patient support).
Your answer
9. Are you active on social media and if so, would you be willing to promote Society of Integrative Oncology during and after the conference? #SIO2019.
This pre-conference workshop was partially funded through a Patient-Centered Outcomes Research Institute (PCORI) Engagement Award (EAIN-00059). The content does not necessarily represent the views of the Patient-Centered Outcomes Research Institute (PCORI), its Board of Governors, or Methodology Committee.
Should you have questions or concerns about the application process, email your question to info@integrativeonc.org or call us at 518.694.5543.
A copy of your responses will be emailed to the address you provided.
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