Research and Training Application
Proposals for Research and Training Workshop Awards are made by submitting a single PDF of the attached application form, a workshop summary and any appropriate attachments. (Downloadable application).
Summary must not exceed five pages and include:
- Course Description & Outline
- Target Audience
- Educational objectives & Expected outcomes
- Sponsors & Collaborators
- Speakers
- Sample of Promotional Brochure & Durable Materials
- Draft budget including estimate of total expenses and where income will come from
Name: _________________________________________________ Designation: _____________________
Position: ____________________________________________________________________________________
Department: _________________________________________________________________________________
Organization/Institution: _______________________________________________________________________
Mailing Address: ______________________________________________________________________________
City: ______________________________________________State: ____________________Zip: ____________
Country: ___________________________________Province: ________________________________________
Phone: ____________________________________E-mail: __________________________________________
Workshop/Course Name: ______________________________________________________________________
Date(s) of Offering: _______________/_______________/_______________
Location of Offering: __________________________________________________________________________
Total Funding Requested: ______________________________________________________________________
CME Credits: Yes[________] No[________] CME Sponsor:_________________________________________
Registration Fee $ ___________________________________________________________________________
Deadlines: March 11, 2011 and October 28, 2011. Send application package in one Word document or PDF to ctubby@aesnet.org.