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Requirements:
If selected, the Student(s) and/or Early Career Professional(s) must agree to the following:
1) Be willing to have your picture and name featured in news collateral and APHA websites as the
winner of a
2015 APIC Student/Early Career Professional APHA Travel Stipend.
2) Self-register for the APHA Conference at www.apha.org, and make own travel and
accommodation arrangements.
3)
Attend the APIC, Aging & Public Health & CHPPD Joint Session # 3133.1:
Ensuring a Healthy Future for Asian American and Pacific Islander American Older Adults, Monday,
November 2, 2015, 10:30-Noon
4) Be recognized at the APIC Students & Young Professionals Meet & Greet, Monday, Nov 2, 2015,
8-10 PM, Convention Center S106a
5) Write a 100 word blurb about the APHA experience for the Asian & Pacific Islander Caucus for
Public Health website (www.apicaucus.org) or the Aging & Public Health Section blog.
6) Submit APHA Meeting travel-related paperwork for reimbursement by November 15, 2015 to
StudentRep2@apicaucus.org.
Application Deadline: September 15, 2015
If you are interested in applying for student (and/or early career professional) travel support to participate in
the Annual APHA Meeting and Exposition, please complete the attached application form and submit all
required items by 5 PM PST September 15, 2015.
If you have any questions, please feel free to contact Brittany Morey, API Caucus Student Rep 2: Doctoral
Student at StudentRep2@apicaucus.org.
To apply for the APIC student travel stipend to attend the 2015 American Public
Health Association Annual Meeting at the McCormick Place Convention Center in
Chicago, Illinois, email the following three items by 5 pm PST September 15,
2015 to the Asian & Pacific Islander Caucus for Public Health at
StudentRep2@apicaucus.org.
An updated resume.
Name____________________________________________________________________________
Address__________________________________________________________________________
Email___________________________________
Cell ________________________
Phone__________________________________
Current Student Status:
Undergraduate
Graduate
Recent Graduate
1. Essay (No greater than 200 word essay describing your demonstrated record of serving
Asian Americans, Pacific Islanders or other people of color, 50+ years of age.
Please attach narrative.
2. Updated resume.
Please attach updated resume.
I agree to the aforementioned terms in the APIC announcement, and I would like to be considered
for the APIC Student/Early Career Professional Travel Stipend to attend the 2015 APHA Annual
Conference in Chicago, IL.
Signature ___________________________________
Date: _________________