SDSRT Travel Grant Application
Name (First, Middle initial, Last):
Address (street address, city, state, zip):
Phone number:
E-mail address:
example@example.com
SDSRT Member Expiration Date:
ASRT Member Number & Expiration Date:
ARRT Number & Expiration Date:
Why do you want to attend the annual Governance & House of Delegates meeting? What do you hope to gain?
What is something new you hope to try or learn or experience on this trip that is outside your comfort zone?
If selected, how will you share the experience or knowledge gained back with our affiliate or colleagues (e.g., presentation, report, article, vlog)?
Have you participated previously in the SDSRT or ASRT? Please provide examples.
Commitment: If awarded the grant, I will attend all mandatory sessions, submit a post-meeting report, and fulfill any additional funding requirements.
Yes
No
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