2026 Annual Symposium - Scholarship Request Form

The International Consumer Product Health and Safety Organization (ICPHSO) will hold its 2025 Annual Meeting & Training Symposium on February 23 - 26, 2026 in Orlando, Florida. If you would like to be considered for a scholarship to help cover the costs of registration, hotel and/or travel, please fill out the form below.

Costs covered by the scholarship will vary depending upon available/budgeted resources and upon application requests. Potential costs covered could include, reduced or free registration; assistance with some or all of travel, hotel, food and other appropriate costs. ICPHSO only provides reimbursement of actual costs and not per diem costs. Food costs may not be reimbursed since ICPHSO provides food and beverage at each of its conferences. Funding priority are generally given to underrepresented stakeholder groups in an effort to ensure broad stakeholder representation at our conferences so that all product safety perspectives can participate. For specific information on the review and funding process see: https://icphso.org/page/ScholarshipProgram.

Name*

First NameLast Name

Organization*

Position/Job Title*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Email*

example@example.com

Why do you feel it is important to attend?*

Due to limited scholarship funding, ICPHSO allocates available resources on a priority basis to ensure the greatest impact.

Does your company/organization prepare an annual budget?*

YesNo

Is attendance at ICPHSO conferences included in that annual budget?*

YesNo

If no, please explain why not.

Do you attend any other safety-related conferences or events?*

YesNo

If yes, please list the conferences attended in the last two years.

Do you or your organization receive any financial assistance or funding to attend these conferences?

Yes, my organization funds my attendanceYes, I receive partial funding or a scholarshipNo, I fund my own attendance

Do you have a Product Safety/Injury Prevention Program?*

YesNo

Are you a member of ICPHSO?*

YesNo

Have you funded yourself at any past ICPHSO meetings?*

YesNo

When was the last time you attended an ICPHSO meeting?*

Please enter the amount of support requested per category. If $0 is needed in a category, enter $0.
Registration- Mbr: $1300, NM: $1700 ($USD)
Flight / Train ($USD)
Hotel Room ($USD)
Meals- Session Days Only - if not already provided ($USD)
Other- Parking, Taxi... etc. ($USD)

Enter the TOTAL AMOUNT Requested ($USD)*

Other comments you wish to leave for consideration?

Signature - I hereby declare the above information is correct to the best of my knowledge and authorize ICPHSO to use this information as my submission for scholarship.*

2026 Annual Symposium Scholarship Request Form

Applicant Information