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EISENBERG HEALTH POLICY RESIDENT LEADERSHIP … · EISENBERG HEALTH POLICY RESIDENT LEADERSHIP GRANT 2018 APPLICATION Submission Deadline: Monday, February 19, 2018 On behalf of Lee

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Page 1: EISENBERG HEALTH POLICY RESIDENT LEADERSHIP … · EISENBERG HEALTH POLICY RESIDENT LEADERSHIP GRANT 2018 APPLICATION Submission Deadline: Monday, February 19, 2018 On behalf of Lee

EISENBERG HEALTH POLICY RESIDENT LEADERSHIP GRANT 2018 APPLICATIONSubmission Deadline: Monday, February 19, 2018

On behalf of Lee D. Eisenberg, MD, MPH, we are pleased to announce a new SRF grant opportunity! The Eisenberg Health Policy Resident Leadership

Grant has been established to annually provide a minimum of three (and up to five) resident leadership grants (RLG) for the annual AAO-HNS/F

Leadership Forum & BOG Spring Meeting. Each grant will be funded in the amount of $550.

To be eligible for an Eisenberg Health Policy RLG, applicants must:

Be a member of the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) in good-standing; and

Complete an application and provide a statement of interest describing how receiving a grant from this Fund would further their involvement in AAO-HNS legislative and health policy advocacy activities.

If awarded an Eisenberg Health Policy RLG, recipients must:

Attend the spring AAO-HNS/F advocacy/leadership meeting held in the Washington, DC Metro area, including participation in a Capitol Hill meeting with their Congressional representative(s);

Submit a 300-word post-meeting essay about their meeting experience; and

Attend a local meeting/event with their Member(s) of Congress.

Grant recipients will also be invited to attend:

Dinner with Dr. Eisenberg on the Friday preceding the spring AAO-HNS/F advocacy/leadership meeting; and

A reception sponsored by ENT PAC, the AAO-HNS political action committee (attendance not required; separate fee may be required).

Submission Deadline: Monday, February 19, 2018Submit your application to [email protected]

(Maximum 300-word limit; attach additional sheets if needed.)

Candidate Name:

Email:

Phone:

Have you ever attended an AAO-HNS advocacy-related event? If so, describe the event(s):

Have you ever met with your Member(s) of Congress in their home district/state? If so, describe your experience:

From a policy perspective, what do you believe are the three most important issues in today’s legislative/regulatory environment?

Contact Richard Carson [email protected] with questions.