2022 AAP Advocacy Conference Registration Scholarship Application
 
Deadline: Wednesday, January 19, 2022 (11:59pm CST)

The American Academy of Pediatrics Advocacy Conference will take place virtually March 20-22, 2022. Join us and learn how to be a strong advocate for children's health! Pediatricians, pediatric subspecialists, and pediatric trainees from across the country will attend advocacy skills-building workshops, hear from distinguished guest speakers and learn about policy priorities impacting children. 

Please complete and submit the application below to be considered for a scholarship. Scholarships  will cover the registration fee ($200 for trainees; $275 for all other AAP members). 

Scholarships are supported by the AAP Section on Pediatric Trainees, the AAP Section on Early Career Pediatricians, the AAP Committee on Federal Government Affairs, the AAP Committee on State Government Affairs, and the AAP Insurance Program.

CONTACT INFORMATION


Career Status (if a senior member, please complete this separate scholarship application): *
*Note: If you are applying as an early career physician, membership in the AAP Section of Early Career Physicians is an eligibility requirement.

SCHOLARSHIP QUESTIONS

Have you previously attended an AAP Legislative/Advocacy Conference? *
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CERTIFICATION

Please note: If chosen to receive a scholarship, you may be asked to write about your experience for a newsletter article or an online discussion forum. In addition, based upon the number of applications received, the Advocacy Conference Scholarship Review Committee reserves the right to ensure applicants represent a diverse geographic range.

Are you are interested in being a delegate for the Section on Senior Members Advocacy Initiative and reside in one of the following states: Georgia, Maryland, Massachusetts, New Mexico, Washington? For more details on the Advocacy Initiative, please visit the SOSM Collaboration Site (AAP login and password required). *

DEMOGRAPHIC DETAILS

This section is not shared with reviewers and, therefore, not used in the selection process.
As part of the application process, we are collecting information to understand who our members are that are applying for advocacy scholarships. This information will be reported back in summary form to the SOPT and SOECP Executive Committees and AAP Leadership; no individual information will be identified. You are not required to answer any of the questions below. 
What is your gender?
 
With what racial or cultural group(s) do you identify yourself? Select all that apply.
 
Which of the following best represents how you think of yourself?
 
Do you have a physical, mental, or emotional disability that causes serious difficulties with your daily activities?
Do you currently work part-time?
Please describe the community in which your primary practice/position is located.
Please indicate your primary employment setting. This is the setting where you spend most of your time.
 
Where was your medical school located?
 
Thank you for your interest in the 2022 AAP Advocacy Conference and for being a strong voice for children!
Questions can be directed to kvandenbrook@aap.org