AAPS Student Center - SPOD Funding Request Form

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AAPS Student/Postdoc Outreach and Development Committee: Funding Request Form

(*NOTE: Any Applications received after the deadlines of July 15 or January 15 will only be eligible for a maximum of $500, budget permitting.)

Contact:
Name:
Address:
Planning Committee Email(s) (Please separate with commas):

Phone & Fax:
Program Planning Committee (include names, titles, schools and email addresses):

Hosting School:
Faculty Representative:
Faculty Representative Email:
Participating Schools:

Theme/Title:
Proposed Date of Program:
Location of Program:
Target Audience(s):
What are the goals for the program (what knowledge should attendees gain)?

Is this a new event? Yes No
Did this event receive SPOD funding last year? Yes No
	*If "Yes", what was the amount of funding received?* $
How many sponsors did you have for last year's conference?
What was the total number of attendees at last year's conference? or N/A if not applicable.
Proposed AAPS Speakers: (*Note, any request for an AAPS speaker here.)
	Has this speaker been contacted?
	Has this speaker been contacted?
	Has this speaker been contacted?
	Has this speaker been contacted?
Other Proposed Speakers:

Proposed Agenda:

How will you market this program and AAPS’ program funding to potential attendees?

If funding were provided, how would you spend the money? (Provide a detailed budget for how the funds will be dispersed.) **NOTE—AAPS will NOT provide funding for food items or receptions.

Are you seeking additional funding from within your department, school or other institutions? If yes, please describe the cost sharing involved for the program.

American Association of Pharmaceutical Scientists
2107 Wilson Blvd, Suite 700, Arlington, VA 22201-3042
Main Telephone: 703 243 2800 Main Fax: 703 243 9650
Email: AAPS
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