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Affiliate Financial Assistance Program Funds Usage Report
Please provide information related to your affiliate's usage of funds for the previous year that you participated in the ASRT Affiliate Financial Assistance Program (AFAP). Thank you.
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1.
Affiliate Society Name:
(Required.)
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2.
Were the funds used to support your annual meeting?
(Required.)
Yes
No
If yes, how much?
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3.
Were the funds used for continuing education programs?
(Required.)
Yes
No
If yes, how much?
4.
What types of continuing education programs or activities were purchased?
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5.
Were the funds used to purchase equipment, software, or other office related material?
(Required.)
Yes
No
If yes, how much?
6.
What type of equipment, software, or other office related material was purchased?
7.
Other than the options listed above, what programs, initiatives, and/or items were the funds used for?
8.
Additional comments:
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9.
I acknowledge that I am the president of my affiliate society.
(Required.)
Yes
Please type your name to serve as your digital signature: