Scholarships - Advanced Therapeutics in Movement & Related Disorders™

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Scholarships
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- 2024 Prospectus
Posters

Scholarships

Scholarships for Advanced Practice Providers, Movement Disorder Fellows & Residents, and General Neurologists

Fellow & Resident Scholarships Include:

4 nights at the Gaylord National Resort & Convention Center
Full ATMRD registration
Breakfast & Lunch throughout the congress
Up to $500 dollars to cover economy travel (reimbursed after the conference)

APP and General Neurologist Scholarships Include:

4 nights at the Gaylord National Resort & Convention Center
Full ATMRD registration
Breakfast & Lunch throughout the congress

*Scholarships are available to any APP, Fellow, Resident, or General Neurologist who wants to apply and are not based on financial need.

Deadline to apply: March 1, 2024

At ATMRD you will:

Receive tremendous value by attending at an extraordinarily reduced price when you apply for a scholarship.
Attend a Congress unlike any other: instead of the same old diagnostics, it focuses on how to treat symptoms after diagnosis.
Experience hands-on workshops designed just for you.
Deep-dive into the latest case studies and clinical research.
Network with your peers.
Engage with experienced movement disorder specialists.
Get out and explore the heart of Washington, DC!
Enjoy 4 nights in a luxurious hotel.
Build your knowledge, build your career.

ATMRD Scholarship Application

"*" indicates required fields

Step 1 of 5

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Name*

First Last

Email*

Phone*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Are you an Advanced Practice Provider, General Neurologist, Fellow, or Resident?**

Practice/Institution Name*

Practice/Institution Website

Practice/Institution City*

Practice/Institution State*

If your practice/institution is outside the US, enter the country below:

NPI Number

Name of Fellowship/Residency Director*

Fellowship/Residency Director E-mail Address*

Fellowship/Residency Director Phone Number*

I first learned about ATMRD from:*

a past attendee/faculty member

a PMD Alliance staff member or ambassador

someone at my institution/practice

a promotional email

social media

an advertisement in a newsletter I follow

Other

Have you attended ATMRD before?*

Did you attend ATMRD on scholarship?*

Choosing 'yes' will not impact the chances of a scholarship for a second year.

Does your institution provide CME funding for programs like ATMRD?**

How much funding you are able to receive from your institution for this conference?*

Out scholarships cover above and beyond what you are able to receive from your institution. By contributing you are enabling us to provide multiple scholarships to your peers who may not receive any funding or would not be able to attend otherwise.

Please select which days you will require a hotel room.*

Please note: June 20th and June 25th are not included in scholarship packages

Do you require special accommodation?*

Please describe*

Are you planning to bring a guest/guests with you?*

The scholarship does not cover any additional guests and any additional fees incurred are the responsibility of the scholarship recipient

How many guests are you planning to bring with you?*

Names of guests*

Opt out of information from event sponsors

Opt Out

Scholarship Agreement*

PLEASE READ CAREFULLY!

By submitting this form you acknowledge that if you are approved for a scholarship, you may be responsible for the following costs:

- any travel costs for which you fail to submit receipts, as well as travel costs exceeding the $500 maximum included with your scholarship.

- hotel room incidentals or costs incurred due to checking into the hotel early or late (included nights are June 21-24).

- the full cost of your room and a $200 administrative fee for cancellations or reduction in hotel nights after May 1, 2024, as well as any additional hotel fees incurred due to your cancellation or reduction in nights. This includes costs incurred on behalf of PMD Alliance due to your failure to attend (no-call no-show). Cancellations and night reductions must be submitted via e-mail by May 1, 2024 without penalty.

- costs incurred for your hotel room on days you did not attend the ATMRD conference. Scholarship recipients are required to attend the full ATMRD conference (June 22-25), without special exception or cancellation, which must be established via email prior to May 1, 2024. Failure to do so may be subject to the same fees established above.

In addition, approved applicants will be required to attend a 15 min. Zoom call with a PMD Alliance staff member, in order to review the scholarship contract and answer any questions you may have.

I agree to the potential costs/fees and required call outlined above.

Scholarship Agreement*

PLEASE READ CAREFULLY!

By submitting this form you acknowledge that if you are approved for a scholarship, you may be responsible for the following costs:

- hotel room incidentals or costs incurred due to checking into the hotel early or late (included nights are June 21-24).

- the full cost of your room and a $200 administrative fee for cancellations or reduction in hotel nights after May 1, 2024, as well as any additional hotel fees incurred due to your cancellation or reduction in nights. This includes costs incurred on behalf of PMD Alliance due to your failure to attend (no-call no-show). Cancellations and night reductions must be submitted via e-mail by May 1, 2024 without penalty.

- costs incurred for your hotel room on days you did not attend the ATMRD conference. Scholarship recipients are required to attend the full ATMRD conference (June 22-25), without special exception or cancellation, which must be established via email prior to May 1, 2024. Failure to do so may be subject to the same fees established above.

In addition, approved applicants will be required to attend a 15 min. Zoom call with a PMD Alliance staff member, in order to review the scholarship contract and answer any questions you may have.

I agree to the potential costs/fees and required call outlined above.

Email

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Contact Us: Email – [email protected] Tel – 800-256-0966

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