The Pennsylvania Sleep Society

10thAnnual Conference Educational Grant

This Scholarship Program was created to assist Pennsylvania Sleep Society (PASS) members who maybe unable to attend the Society’s annual meeting due to financial restraints. The purpose of this program is to offset the expenses associated with attending the annual meeting.

One scholarship will be offered. Applicants are eligible in either of two categories: a) a PASS member in good standing who is at the Polysomnographic Practitioner level; b) a PASS member in good standing who is at the MD / PhD Student / Trainee level.

One winner will receive complimentary registration to the 10th Annual Meeting of the Pennsylvania Sleep Society. The event will take place at the Best Western Premier, The Central Hotel & Conference Centerin Harrisburg, PA on May 5, 2018. Hotel accommodation is also included in the award, for the evening prior to the conference (May 4, 2018). Additionally, registration to the meeting includes attendance at the Networking Social at the hotel on the evening prior to the event, AAST/AARC/CME credit, food and refreshments on the day of the event.

Qualifications

To be considered, an applicant must be an active PSS member in good standing at the time of submitting their completed Scholarship Program Application. Applications will be accepteduntil March 1, 2018. The PSS Board of Directors will review each application and award the scholarship recipient no later than March 5, 2018. After notification, the scholarship recipient(s) will be announced on the Pennsylvania Sleep Society Website ( and Twitter pages.

Disclaimers

The Pennsylvania Sleep Society scholarship covers the room block rate of $123.95 plus taxes and admission to the 10th Annual Meeting only, and is not responsible for any associated costs incurred by award recipient. Hotel room damages and other incidentals are the responsibility of the recipient, as are all travel and food costs accrued.

Application Process

  1. Download the Scholarship Application
  2. The completed ScholarshipApplication form must include:
  3. A letter of recommendation from the applicant’s supervisor/director.
  4. A letter of intent from the applicant explaining why the scholarship is needed and what the applicant hopes to accomplish by attending the PSS meeting.
  5. The Completed ScholarshipApplication must be received by the Pennsylvania Sleep Society Board of Directorsno later than March 1, 2018.
  6. Send the required information to:

Annual Conference Attendance Scholarship Pennsylvania Sleep Society

P.O. Box 175

Neffs, PA 18065

Annual Conference Attendance Scholarship Application

Pennsylvania Sleep Society - P.O. Box 175 - Neffs, PA 18065

DUE DATE: MARCH 1, 2018

NAME of APPLICANT: / Credentials:
CONTACT INFORMATION
E-mail:
Phone (h):
Phone (c):
US Postal Address: / -
-
EMPLOYER INFORMATION
Supervisor/Director:
Phone Number / E-mail Address:
I know the proposed recipient to have upheld the professional standards and ethics of the Pennsylvania Sleep Society throughout his/her career.
______
Signature of Supervisor/Medical Director Relationship to applicant
Applicant Information:
I began working in sleep medicine/technology: ______(month & year)
My first position in the field of sleep medicine was: ______
Signature of Applicant: / Date: