HAPS ADS Coaching Travel Award
For submission of the application, the traveling party is responsible for completing the HAPS ADS Travel Award Application. This means the application can be submitted by wither the Coach or Coachee, but the submitting member must be the one traveling.
Name
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First Name
Last Name
Home Institution (Name, City, State):
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Destination Institution (Name, City, State):
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Are you a coach or coachee:
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Please Select
Coach
Coachee
Name of Coach/Coachee:
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How many times have you met with your coach/coachee and what have these meetings entailed?
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How much are you requesting? (up to $550):
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Please itemize the costs that make up the full request.
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Describe your need for travel to the destination related to the coaching program.
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What do you plan to get out of this experience?
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Do you have departmental/institutional funding/support to use towards traveling for the ADS Support Team program?
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Yes
No
How will your participation help specifically support your involvement in the overall mission and strategic plan of HAPS? (e.g., hosting outreach and pathway programs, increasing diversity in the field of A&P/STEM/healthcare)
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Please attach the following to your application: 1. CV.
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Please attach the following to your application: 2. Letter from the coach/coachee that you are traveling to say they agree to the travel and an overview of what the plans for the visit are.
*
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