Request for ASHI Support

Request for ASHI Support
All requests for support must be approved by the American Society for Histocompatibility and Immunogenetics (ASHI) Board of Directors. Monetary requests must be submitted by an organizational representative who is an active ASHI member. Non-ASHI members are welcome to submit requests for non-monetary support. If you need to apply for ASHI membership, please click here.

This application must be completed by September 1st in order for your request to be thoroughly reviewed and considered for budget approval. Requests received after the September 1st deadline will be considered on a case-by-case basis if funding is still available.
Contact Information
Name*

First NameLast Name
Email*
example@example.com
Phone Number
Please include country codes for phone numbers outside of the US
Name of Institution/Organization*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Type of Request*

Meeting/Conference/WorkshopSponsorship OnlyActivityInitiativeOther
Please add a short description below.*
Event Start Date*

MonthDayYear
Event End Date*

MonthDayYear
Location:*
Target Audience*
Will ASHI be the only sponsor?*

YesNo
Please list all other supporters:*

Support
Are you requesting financial support?*

YesNo
What is the total amount requested?*
Administrative Support:

Under specific circumstances, ASHI may be required to offer administrative support in conjunction with the funding provided.This can include, but is not limited, to the following:
- finding the appropriate speaker
- arranging travel
- booking accommodations
- assisting speakers with recording presentations
- processing reimbursements
To the best of your knowledge, does your request for support require ASHI administrative support?*

YesNo
Please describe tasks below.*

For ASHI and ACHI Committee initiatives only*

*Funding requests for new initiatives originating from ASHI and ACHI committees or programs.
Is this a new ASHI initiative?*

YesNo
Names of proposed committee members and lead contacts (include name and email address)*
Timeline for completion of initiative*
Type of ASHI product (e.g. Meeting, Book, Promotions, etc.)*
Authorship Statement*
Budget - Please provide a detailed breakdown of how the money from ASHI will be used.*

For new external sponsorship and endorsement requests, please submit the following:
Copy of the educational program (if applicable)

Cancelof
Budget - please provide a detailed breakdown of how the money from ASHI will be used)*

ASHI will review all requests and notify you if additional information is needed.
Should be Empty:

Contact Information