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CMEDSA CONFERENCE SPONSORSHIP FORM

Please include the following when explaining your interest:

  1. Explanation of Interest; why you want to go the conference in terms of professional and intellectual development, how the conference ties into your unique career focus;

  2. Background; why you may deserve to go, i.e., your past service to the department and involvement in public health or else, if off-campus, volunteer opportunities in your community;

  3. Return on Investment; how you will give back from the conferences, e.g., give a presentation or summarize what you learned and submit it online on the CMEDSA web site to share with other students; and

  4. Agree that you will volunteer 8 hours for CMEDSA community service projects such as Safety Bug, the Health Fair or organizing flood relief or on behalf of CMEDSA in your community.

This form, once submitted, will be emailed to
CMEDSA Faculty Sponsor Professor Ruth Kershner at rkershner@hsc.wvu.edu


Interest Form

  1. Name:

  2. Email:

  3. Address:


  4. Phone Number (Include Area Code):

  5. Degree Program:

    CHPR

    MPH

    PHD


  6. Conference(s) interested in attending:

   Name of Conference

   Location of Conference (City, State)

   Website (if available)

 

  1. Please explain why you desire to attend the above conference(s) and receive CMEDSA sponsorship.