The Journey Grant: Fueling Residents' Voyage to the Annual Convention

The Journey Grant: Fueling Residents' Voyage to the Annual Convention
Spring 2024

In order to relieve some of the financial burden for residents entering the field, the Auxiliary to the ACOFP is pleased to announce its call for applications for The Journey Grant. The grant will award up to $500 for travel to the Annual Convention for up to 40 residents who don’t have complete funding support from their program or have applied for the Initial Certification Grant.

Eligibility

To be eligible, the applicant must:
- Be an ACOFP resident member (free to join). Not a member? Join now.
- Submit proof of registration for the Annual Convention for the in-person meeting (free for residents). Register here.
- Not received financial support from their residency program and/or applied for the Initial Certification Grant.
Have you or will you apply for an ACOFP Foundation Initial Certification Grant in this cycle (July 2023 - February 2024)?*
Name*

First NameLast Name
AOA ID:
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email (please use personal email address)*
example@example.com
Program Information
Residency Program Name*
Residency Coordinator*
Residency Coordinator Phone*
Please enter a valid phone number.Format: (000) 000-0000.
Residency Coordinator Email
example@example.com
SIGNATURE INSTRUCTIONS

APPLICANTS: Please use the 'Applicant Signature' e-Sign field below to sign your application. When you have finished, press the 'submit' button at the bottom of the form. This will send an email of your form to the email you have given to your program coordinator. They will be given a link to add their signature to this form. Please confirm that they have received this email.
Applicant Signature*

Clear
SIGNATURE INSTRUCTIONS

PROGRAM COORDINATOR OR DESIGNEE: If you are reading this, you have received the email mentioned above. If you have not yet done so, click the link at the top and scroll down to the 'Program Coordinator or Designee Signature' box and e-sign. Your signature confirms the information provided in this application is correct, and that your residency program does not provide financial support to attend ACOFP's Annual Convention.

Once you have signed, please press the 'submit' button at the bottom of the page.
Program Coordinator or Designee Email*
example@example.com
Program Coordinator or Designee Signature (see signature instructions)

Clear
Signatory Title (if different from Program Coordinator)
Should be Empty:

The Journey Grant: Fueling Residents' Voyage to the Annual Convention

Program Information