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FACTS Conferences - Student Scholarship Application

Please complete the scholarship application in its entirety. The deadline for scholarship applications is Monday, October 7th. Space and funding are limited.

Please note, you may invite a friend or family member to make a $75 tax-deductible gift to our scholarship fund on your behalf here: https://www.factsaboutfertility.org/learn-more/donation/.

Please ask them to list your name in the field, "In Honor of" so we can ensure you receive this scholarship.

Scholarships are only available to active FACTS ambassadors interested in attending the conference. However, if you are not an ambassador and someone donates to the scholarship fund in your name, then you will still receive a scholarship.

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1. Contact Information

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2. What is your profession / area of training?

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3. What year are you in training?

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4. What school or program are you currently attending?

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5. Are you a FACTS Ambassador?

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6. Are you a paid FACTS Student Member?

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7. I declare I do not have access to other Professional Development funds.

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8. Do you know if someone has or will make a donation to our scholarship fund on your behalf?

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9. Previous scholarships (please check the appropriate box):

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