2024 Travel Scholarship Application Form

Travel Scholarship Application Form

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Please complete the following application to be considered for a 2024 PeDRA Annual Conference Travel Scholarship. If you have questions or encounter any trouble with the form, please email conference@pedraresearch.org or call 971-369-4690.

Please note that you can save your progress on the form and return later by clicking "Save my progress and resume later," located at either the top or bottom of this form.

PeDRA is proud to offer Travel Scholarships to help offset the cost of travel for eligible PeDRA Trainee Members*, PeDRA Community Members, or families attending Mini Camp Wonder at PeDRA. Scholarships are available to eligible applicants from all backgrounds including, but not limited to, individuals from communities that are underrepresented in medicine (URiM). Scholarships will be awarded following an application and competitive review process, depending on availability of funds and the merit of applications received. Membership for trainees and community members is FREE. Apply here.

The 2024 PeDRA Annual Conference Travel Scholarship will:

Waive the registration fee for Travel Scholarship recipients.
Award $595 to cover travel expenses to attend the 2024 Annual Conference for those traveling to Phoenix or $100 to cover expenses for local attendees (within 50 miles of the Sheraton Phoenix Downtown Hotel).

The following individuals are eligible to apply for a Travel Scholarship:

PeDRA Trainee Members (clinical fellows and residents only)* in good standing.
PeDRA Community Members (parents, caregivers, patients, and advocates) in good standing.
Campers registering for Mini Camp Wonder at PeDRA.

Important dates and other information:

Applicants must apply for a travel scholarship before 11:59PM PT on Thursday, August 1, 2024.
Awarded applicants will be notified of their scholarship by August 15, 2024 and will receive a special code to register for Conference.
Applicants may apply for a Travel Scholarship before or after registering for Conference. If an awarded applicant already registered for Conference, they will receive a reimbursement for their registration fees.
All non-local recipients are strongly encouraged to stay at the Conference hotel, The Sheraton Phoenix Downtown Hotel in Phoenix, AZ. Attendees may use the PeDRA App message board to connect with other attendees interested in sharing a room. The PeDRA App is available to members all year long and Conference attendees beginning in October 2024.
Campers attending Mini Camp Wonder at PeDRA are eligible for Travel Scholarships. Parents or guardians should complete this application on behalf of their camper(s). For families with multiple children attending camp, a separate Travel Scholarship application must be submitted for each camper. Follow this link to register for camp if you haven't done so already.
Interested in a Travel Scholarship but not approved as a PeDRA member? Select "non-member (application pending)" below while your membership application is under review.
*Medical students and research fellows are not eligible to fill out this form. All medical students and research fellows who apply for and are accepted into the NextGen Research Forum will receive a travel stipend. The deadline to apply for NextGen is Thursday, August 1, 2024. Apply here.

Applicant Information

Please select the description below that best describes you:

PeDRA Trainee Member (Clinical Fellow or Resident)*PeDRA Community MemberA Parent or Guardian applying on behalf of a Mini Camp Wonder CamperNon-member (application pending)*Trainee Members who are medical students or research fellows are not eligible to apply for a Travel Scholarship using this form. All students and research fellows accepted into the NextGen Research Forum will receive a travel stipend. Medical students and research fellows wishing to attend the Conference must apply to the NextGen Research Forum by August 1, 2024. Apply for the NextGen Research Forum here.

For which membership category have you applied?

PeDRA Trainee Member (Clinical Fellow or Resident)PeDRA Community Member

First Name

Last Name

Child's First Name

Child's Last Name

Credentials if applicable:

Primary Affiliation

If applicable, please provide the name of the organization or patient community with which you are involved:

With which pediatric skin disease or condition(s) is your camper living with?

Email Address

Mailing Address

City

State

State/Province

Province

Country

Postal Code

Please select what most accurately describes your current position:

Clinical FellowResidentOther

Other - please describe

Please tell us more about yourself. Select all that apply:

I am the parent or guardian of a pediatric patient. I am a representative from a patient advocacy organization.I am a patient (over the age of 18).

Will your child (or children) also be joining us in person for the conference?

Yes*No*If yes, please also complete the Mini Camp Wonder at PeDRA application.

Advocate position

Advocacy StaffPatient or CaregiverOther

Please explain your selection of "other" here:

Demographics

PeDRA is committed to supporting equity, diversity, and inclusion across all facets of its organization, programs, committees, leadership, and research studies. We ask for demographic information from Travel Scholarship Applicants to ensure we have accurate and complete data to help achieve this goal. All data collected is kept safely and only de-identified aggregate data may be shared for strategic purposes.

Please specify your gender:

FemaleMaleNon-binaryI do not wish to provide this information.

With what race(s) do you self-identify? Please select all that apply.

American Indian or Alaska Native	Asian
Black or African American	Hispanic or Latinx
Middle Eastern or Northern African	Native Hawaiian or other Pacific Islander
White	Other - write in
I do not wish to provide this information.

Other - write in race:

2024 PeDRA Annual Conference Travel Scholarship Application

Please provide a statement of interest describing your reason for wanting to attend the 2024 PeDRA Annual Conference and how a 2024 Travel Scholarship will help you attend (250-word maximum).

Are you expecting to be an author or collaborator on any research being presented or discussed at the conference? Please select all that apply:

NextGen Research ForumBreakout Session Project DiscussionPoster and/or Oral PresentationNot applicable

Do you live within 50 miles of the Sheraton Phoenix Downtown Hotel?

YesNo

2024 PeDRA Annual Conference Travel Scholarship Application

Please provide a statement of interest describing your reason for wanting to attend the 2024 PeDRA Annual Conference and how a 2024 Travel Scholarship will help you attend (250-word maximum).

Please provide the name and email address of a mentor, supervisor, or other clinician and/or researcher who can serve as a professional and/or academic reference, should PeDRA choose to contact them:

Reference first name:

Reference last name:

Reference position:

Reference institution:

Reference email address:

Please upload your CV or NIH-style biosketch in pdf format:

Are you expecting to be an author or collaborator on any research being presented or discussed at the conference? Please select all that apply:

NextGen Research ForumBreakout Session Project DiscussionPoster and/or Oral PresentationNot applicable

Do you live within 50 miles of the Sheraton Phoenix Downtown Hotel?

YesNo

PeDRA would like to feature recipients of this year's Travel Scholarships on the PeDRA website and/or other marketing materials. Please indicate your willingness to be featured this way:

Yes, I am interested in being featured publicly as a recipient of a 2024 Travel Scholarship.No, I am not interested in being featured publicly.

Please provide a headshot that could be used to publicly recognize you (optional).

2024 Travel Scholarship Expectations:

ATTENDANCE - Travel Scholarship recipients must attend the 2024 PeDRA Annual Conference to receive scholarship payments.
USE OF FUNDS - Scholarships must be used to cover costs related to your travel to attend the 2024 PeDRA Annual Conference, and may include airfare, ground transportation, meals, lodging, or similar expenses.
TRAVEL ARRANGEMENTS - All scholarship recipients are required to make their own travel arrangements.
LODGING - All non-local scholarship recipients are strongly encouraged to stay at the Conference hotel, the Sheraton Downtown Phoenix Hotel, within the designated PeDRA room block.
RECOGNITION - Recipients must acknowledge a 2024 Travel Scholarship from the Pediatric Dermatology Research Alliance (PeDRA) in any publications or presentations that may benefit, either directly or indirectly from this scholarship. This includes posters or presentations at the 2024 PeDRA Annual Conference. View the PeDRA Communication Guidelines here.
PAYMENT - To process scholarship payments, PeDRA requires a valid email address and mailing address. Domestic scholarship recipients may be paid electronically or by paper check. Non-domestic scholarship recipients will be paid electronically. All Travel Scholarship payments will be made within 45 days of the 2024 PeDRA Annual Conference.

By clicking "submit" you agree to the expectations of the 2024 PeDRA Annual Conference Travel Scholarship.

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Contact Information

Return to Conference Overview

Travel Scholarship Application Form

Please complete the following application to be considered for a 2024 PeDRA Annual Conference Travel Scholarship. If you have questions or encounter any trouble with the form, please email conference@pedraresearch.org or call 971-369-4690.

Please note that you can save your progress on the form and return later by clicking "Save my progress and resume later," located at either the top or bottom of this form.

The 2024 PeDRA Annual Conference Travel Scholarship will:

Waive the registration fee for Travel Scholarship recipients.Award $595 to cover travel expenses to attend the 2024 Annual Conference for those traveling to Phoenix or $100 to cover expenses for local attendees (within 50 miles of the Sheraton Phoenix Downtown Hotel).

The following individuals are eligible to apply for a Travel Scholarship:

PeDRA Trainee Members (clinical fellows and residents only)* in good standing.PeDRA Community Members (parents, caregivers, patients, and advocates) in good standing.Campers registering for Mini Camp Wonder at PeDRA.

Important dates and other information:

Applicant Information

2024 PeDRA Annual Conference Travel Scholarship Application

2024 PeDRA Annual Conference Travel Scholarship Application

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Waive the registration fee for Travel Scholarship recipients.
Award $595 to cover travel expenses to attend the 2024 Annual Conference for those traveling to Phoenix or $100 to cover expenses for local attendees (within 50 miles of the Sheraton Phoenix Downtown Hotel).

PeDRA Trainee Members (clinical fellows and residents only)* in good standing.
PeDRA Community Members (parents, caregivers, patients, and advocates) in good standing.
Campers registering for Mini Camp Wonder at PeDRA.