Application for Student Travel Support

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American Public Health Association’s
American Indian, Alaska Native and Native Hawaiian Caucus
Native Student Travel Support Application
The American Public Health Association 142nd Annual Meeting
New Orleans, LA
November 15-19, 2014
Purpose:
The American Public Health Association (APHA) American Indian, Alaska Native and Native
Hawaiian Caucus is proud to offer travel scholarships for American Indian, Alaska Native and Native
Hawaiian (AIANNH) students to attend the 142nd Annual APHA Meeting & Exposition in New Orleans,
LA on November 15-19, 2014.
The APHA AIANNH Caucus Student Scholarship will provide AIANNH students interested in public
health with assistance towards the costs of traveling to and attending the APHA Annual Meeting. The
APHA Annual Meeting addresses current and emerging health science, policy, and practice issues in
an effort to prevent disease and promote health. In addition it provides numerous opportunities to
learn about public health careers, research careers and to network with AIANNH health professional
role models and elders.
Eligibility:
All AIANNH full time undergraduate, graduate and recent graduate (within 1 year of graduation)
students interested in public health are encouraged to apply. Past recipients are not eligible.
Requirements:
If selected, students must agree to the following:
1) Attend all AIANNH Caucus activities of the APHA Meeting;
2) Attend an APHA AIANNH Caucus orientation;
3) Assist during meeting and Caucus sessions with distribution/collection of materials,
moderation, summarizing sessions, taking pictures etc.
4) Submit a brief newsletter article about APHA experience and a post evaluation of the APHA
meeting upon its completion; and
5) Submit APHA Meeting travel-related paperwork upon return.
Application Deadline:
If you are interested in applying for student travel support to attend the APHA Annual Meeting and
Exposition, please complete the attached application form and submit all required items by Monday,
June 30, 2014.
If you have any questions, please feel free to contact APHA American Indian, Alaska Native, Native
Hawaiian Caucus Student Representatives Ashley Tuomi (atuomi@aihfs.org) or Danya Carroll
(carr9172@bears.unco.edu) and Development Chair, Dr. Lillian Tom-Orme
(Lillian.Tomorme@hsc.utah.edu).
American Public Health Association’s
American Indian, Alaska Native and Native Hawaiian Caucus
Native Student Travel Support Application
The American Public Health Association 142nd Annual Meeting
New Orleans, LA
To apply for the AIANNH student travel support to attend the American Public Health Association Annual
Meeting, email the following three items by June 30, 2014 to atuomi@aihfs.org and carr9172@bears.unco.edu
.


A complete Application Form (complete all questions listed on this application)
A one-page, double spaced written statement of your interest in the advancement of American
Indian, Alaska Native and Native Hawaiian health issues, how this meeting will benefit your career
development in public health, and an example of any public health career activities you have recently
attended or participated in.
 An updated Curriculum Vitae (CV)
Please complete the following items:
Name:
Address:
Email:
Affiliation(s):
Phone:
American Indian
Alaska Native
Please specify Tribal Affiliation Name(s):
Current Student Status:
Graduate
Native Hawaiian
Undergraduate
Recent Graduate
Anticipated Graduation Year or Graduation Year:
School(s) graduated from or currently enrolled:
Field of Interest (i.e. public health, medicine, pharmacy, nursing, health research):
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