American Public Health Association’s
American Indian, Alaska Native and Native Hawaiian Caucus
Native Student Travel Support Application
The American Public Health Association 143rd Annual Meeting
Health in All Policies
Chicago, Illinois
October 31-November 4, 2015
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 143rd APHA Annual Meeting & Exposition in Chicago,
Illinois on October 31-November 4, 2015.
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. Young professionals are also eligible.
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 July 27.
If you have any questions, please feel free to contact APHA American Indian, Alaska Native, Native
Hawaiian Caucus Student Representative 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 143rd Annual Meeting
Chicago, Illinois
To apply for the AIANNH student travel support to attend the American Public
Health Association Annual Meeting, email the following three items by 5 pm EST on
July 27, 2015 to Danya Carroll at 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 particularly in policy, 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___________________________________
Phone__________________________________
Affiliation(s):
American Indian
Alaska Native
Native Hawaiian
Please specify Tribal Affiliation Name(s): _________________________________________________________
Current Student Status:
Graduate
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): _______________________