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Canadian Society of Transplantation
Société canadienne de transplantation
leadership in canadian transplantation | leadership en transplantation au canada
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CST Pharmacist Group Travel Grant
View Application Instructions
ELIGIBILITY CRITERIA
Applicants must be a pharmacist and a member in good standing of the CST Pharmacist Group for at least one year.
Applicants are not eligible to receive a bursary award in 2 consecutive years.
Applicants are not eligible if receiving another travel award from the CST (e.g. Pediatric Group Associate Member Travel Bursary or Lung Group Travel Bursary)
Applicant must provide confirmation of abstract submission. (A PDF copy of the abstract submission, or a copy of the confirmation email must be forwarded to:
admin@cst-transplant.ca
for the application to be considered complete.
Application Deadline is August 9, 2024
First Name
Last Name
Address / ADRESSE POSTALE
City
Province/State
== choose one ==
-- Province --
AB
BC
MB
NB
NL
NT
NS
NU
ON
PE
QC
SK
YT
-- State --
AK
AL
AR
AS
AZ
CA
CO
CT
DC
DE
FL
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MR
MS
MT
NC
ND
NE
NH
NJ
NM
NN
NV
NY
OH
OK
OR
PA
PL
PO
PR
RI
SC
SD
TN
TT
TX
UT
VA
VI
VT
WA
WI
WV
WY
Outside Canada-US
Not Applicable
Postal/Zip Code
Country
== choose one ==
Canada
United States
------------------------------
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua & Deps
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Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar, {Burma}
Namibia
Nauru
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Netherlands
New Zealand
Nicaragua
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Nigeria
Norway
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Palau
Panama
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Vatican City
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Vietnam
Yemen
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Telephone:
Email
I have been a member of the CST Pharmacist Group since _____ year.
Name of Primary Practice Site:
Positions held (Position, Institution, Years)
Have you submitted an Abstract to this year's CST Annual Scientific Meeting? If yes, please list title(s) and submission confirmation number(s):
Have you been invited to give an oral presentation at the 2024 CST Scientific Meeting? If yes, please list:
If you answered 'Yes', please list details of the presentation:
List other activities/contributions/involvement with CST (e.g. committee membership):
Estimate of funds requested (Note: Value cannot exceed $500):
I have reviewed the Eligibility Criteria and acknowledge that I am eligible to apply for this bursary. (Enter initials)