AADPRT Donation Form

AADPRT Donation Form

We are striving to endow our awards and fellowships so we no longer need to use operating funds to pay for awardee travel to, and participation in, the Annual Meeting where they are recognized for their achievements. Please support this effort by donating to one or multiple awards and fellowships. You may also give to the general fund to ensure AADPRT can continue to offer valuable member benefits such as the Listservs, Virtual Training Office, virtual programming (workshops, forums, etc.), Mentorship Program, Leadership Academy, and more.

If you're contributing via a donor-advised fund (DAF), you can download AADPRT's W9 here.

Name*

First NameLast Name

Credential(s)*

MD, DO, etc.

Program name*

Email*

example@example.com

My donation is in honor or memory of someone:*

In honor of someoneIn memory of someoneNone of the above

Please type their name below.*

First NameLast Name

View award/fellowship descriptions

My Products

Lucille Fusaro Meinsler Program Administrator EndowmentEnter multiples of $10 below (e.g. $100 donation = Qty 10)

$10.00 Quantity

AAAP-AADPRT Visiting Scholar Award in Addiction EducationEnter multiples of $10 below (e.g. $100 donation = Qty 10)

$10.00 Quantity

Dr. Iverson Bell, Jr. Faculty FellowshipEnter multiples of $10 below (e.g. $100 donation = Qty 10)

$10.00 Quantity

George Ginsberg FellowshipEnter multiples of $10 below (e.g. $100 donation = Qty 10)

$10.00 Quantity

Lifetime Service AwardEnter multiples of $10 below (e.g. $100 donation = Qty 10)

$10.00 Quantity

Nyapati Rao & Francis Lu International Medical Graduate (IMG) FellowshipEnter multiples of $10 below (e.g. $100 donation = Qty 10)

$10.00 Quantity

Peter Henderson, MD Memorial AwardEnter multiples of $10 below (e.g. $100 donation = Qty 10)

$10.00 Quantity

AADPRT General FundEnter multiples of $10 below (e.g. $100 donation = Qty 10)

$10.00 Quantity

Total

$0.00