Financial Support Request Form
Submit your confidential request for assistance to attend the CSG Annual Meeting by July 15. NOTE: there is no guarantee that funding will be available to support your request. We request this information to assist with prioritization of funding ONLY IF it becomes available. This information will be kept confidential and will not be shared outside of the 2026 CSG Planning Committee.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Institutional Affiliation
*
Role at the CSG Annual Meeting
*
Please Select
Trainee (student, resident, fellow)
Public Health Professional
Faculty/Investigator
Other Professional
Other
Are you presenting at the meeting?
*
Yes, oral presentation
Yes, poster presentation
No
Please describe your need for financial support (including what expenses you are seeking support for and any relevant context).
*
Amount of support requested (USD)
*
Do you have other sources of support for attending the meeting?
*
No, I do not have other support
Yes, partial support
Yes, full support
If you have any additional comments about your funding situation, please provide them here (optional).
Demographic Information (optional)
Career Stage
Please Select
Undergraduate Student
Graduate Student
Postdoctoral Fellow
Resident
Faculty
Professional
Other
Primary Field of Work
Please Select
Public Health
Clinical Medicine
Research
Education
Other
Acknowledgements and Consent
*
I acknowledge that this request is confidential and submitting it does not guarantee funding. I understand that I will be contacted if support becomes available and that priority may be given as described above.
I confirm that I am submitting only one request for financial support for this meeting.
Submit Request
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