• CI2027 San Diego Student Scholarship Application

    ACTIVITY: CI2027 San Diego Conference on Cochlear Implants

  • ACI Alliance is pleased to offer a limited number of scholarships for students, residents, and fellows in hearing sciences who wish to pursue clinical practice and/or research in cochlear implantation. Recipients will be required to volunteer for two hours during CI2027 as part of their scholarship commitment.

    The scholarships awarded will provide the conference registration, a $200 award, and a complimentary membership to ACI Alliance until the date of the students’ program completion.

    The deadline to submit a CI2027 Student Scholarship Application is December 18, 2026.

  • Basic Information

  • Date of Birth*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Ethnic Background (Please check all that apply)*
  • Disability (Please check all that apply)*

  • Academic Information

  • Are you currently a graduate student*
  • Expected degree completion date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Are you a post-doc?*
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof
  • 0/100
  • 0/100
  • All applicants are encouraged to submit abstracts and participate in the Student Poster Competition. Have you submitted an abstract?*
  • 0/100

  • Agreement and Signature

    By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a scholarship recipient, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal.

  • ACI Alliance Policy

    It is the policy of this organization to provide equal opportunities without regard to race, color, religion, national origin, gender, sexual preference, age, or disability. Thank you for completing this application form. 

    *The Americans with Disabilities Act (ADA) defines a person with a disability as a person who has a physical or mental impairment that substantially limits one or more major life activity. This includes people who have a record of such an impairment, even if they do not currently have a disability. It also includes individuals who do not have a disability but are regarded as having a disability. The ADA also makes it unlawful to discriminate against a person based on that person’s association with a person with a disability. https://adata.org/

     

  • Should be Empty: