CAMEX26 Conference Grant Application

CAMEX26 Conference Grant Application
Section 1: Applicant Information
Store or Institution Name*
Name of Applicant*

First NameLast Name
Job Title*
Email Address*
Phone Number*

Area CodePhone Number
Is your store/institution a member of NACS?*

YesNo
Would you like information about NACS membership?*

YesNo
Have you or anyone from your store or institution received a NACS Foundation grant in the past?*

YesNo

Section 2: Grant Preference
Which CAMEX grant opportunity would you like to be considered for?*

Traditional CAMEX Grant — Free registration + 4 nights in the headquarters hotel.$500 CAMEX Travel Stipend — May be used toward any CAMEX-related expenses.
If not selected for your preferred option, would you like to be considered for the other opportunity?*

Yes, I would be open to either opportunity.No, please only consider me for my preferred option.

Section 4: Conference Goals & Impact
Please describe your primary goals for attending CAMEX and how they align with your store’s or institution’s needs.*
Does your participation at CAMEX support your professional growth or a specific project at your store? Please explain.*
What impact would not receiving a grant have on your ability to attend CAMEX?*

Section 5: Agreement & Follow-Up
Would you be willing to provide feedback to the NACS Foundation via a brief survey or short one-paragraph synopsis following CAMEX?*

YesNo
If you encounter problems using this form, please contact nacsfoundation@nacs.org or call (800) 622-7498.
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Section 1: Applicant Information