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Resident Travel Award Application for AACAP Advocacy Day
1. AACAP Advocacy Day
May 10-11, 2012
Resident Travel Grant Application
With the support of AACAP’s Campaign for America’s Kids, AACAP is providing travel grants of
$250 to child and adolescent psychiatry residents to attend Advocacy Day. These travel grants must
be matched with support from your regional organization. Regional organizations can select up to
two residents to support. The scholarships will be awarded on a first-come-first served basis.
All applications must be submitted with a letter of support from your regional organization
president, acknowledging matching support.
Name: ________________________________________________________________
HOME Address (where you vote):
______________________________________________________________________
City: ____________________________ State: ___________ Zip Code: ___________
Phone #: ______________________ Email: __________________________________
Regional Organization: ___________________________________________________
I will ___ will not ___ attend the Thursday afternoon Advocacy Training.
I will ___ will not ___ attend the Thursday evening Reception.
The deadline for applications is April 13, 2012.
Please submit all materials to Liz DiLauro at edilauro@aacap.org
or fax to 202-966-1944.
This program was made possible by a grant from the American Academy of Child and
Adolescent Psychiatry’s Campaign for America’s Kids.