Grant Recipient Testimonial Form

Grant Recipient Testimonials 2017

If you were a 2017 grant recipient, please fill out this brief survey.

This information may be used to share with the broader membership of the society about the grants given to various residents, fellows and missionaries.
Full Name(*)
Please type your full name.

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Please specify your current position.

Institution Name
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Training level (if applicable)

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How many times have you received a grant to attend this meeting previously?(*)
Please tell us how many times you've attended before this year.


Meeting Testimonial

Please write a several sentence testimonial about the Lake Junaluska meeting and how it impacted you
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Comments or suggestions about the Grand Rounds Super Bowl
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Please give any comments that you would like the society members to hear about their support of grants.
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If you quote the above, I would request that you don't quote my name.(*)

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