McMaster Medical Student Council, Michael G. DeGroote School of Medicine, McMaster University, 1200 Main Street West, MDCL - 3107 Hamilton, ON, L8N 3Z5
Phone: (905) 525-9140 Ext. 22141 Fax: (905) 546-0349 http://www.macmedstudentcouncil.org
>>>Conference Funding Request Form <<< PLEASE MAKE CHEQUE PAYABLE TO:
OFFICE USE ONLY
NAME:
DATE: CHEQUE #:
ADDRESS:
INITIALS
TELEPHONE: OVERVIEW OF REQUEST: NAME: STUDENT NUMBER: CLASS: AMOUNT OF CONFERENCE FUNDING YOU HAVE PREVIOUSLY RECEIVED FROM THE MMSC: NAME OF CONFERENCE: LOCATION OF CONFERENCE: DATE(S) OF CONFERENCE: GENERAL DESCRIPTION OF THE CONFERENCE:
DATE
DESCRIPTION
AMOUNT
TRAVEL/MISCELLANEOUS EXPENSES:
REGISTRATION EXPENSES:
ACCOMMODATION EXPENSES:
Please attach original receipts/invoices enclose in an envelope and submit to:
TOTAL CHEQUE REQUEST
Revised as of January 9th, 2015
McMaster Medical Student Council, Michael G. DeGroote School of Medicine, McMaster University, 1200 Main Street West, MDCL - 3107 Hamilton, ON, L8N 3Z5
VP Finance and Administration DETAILS OF REQUEST:
HAVE YOU CONFIRMED OR DO YOU EXPECT TO RECEIVE ANY OTHER SOURCES OF FUNDING?
HOW MANY ATTENDEES ARE EXPECTED AT THIS CONFERENCE?
WHO ARE THE ATTENDEES? STUDENTS, RESEARCHERS, ETC.)
(PHYSICIANS,
WHAT WILL YOUR ROLE BE AT THE CONFERENCE? (SPECTATOR, PARTICIPANT, PRESENTER, ETC.)
WHAT ARE YOUR GOALS FOR THE CONFERENCE?
HOW IS THE CONFERENCE RELEVANT TO YOUR STUDIES?
HOW WILL YOU BE REPRESENTING THE DEGROOTE SCHOOL OF MEDICINE AT THE CONFERENCE? DO YOU FORESEE ANY BENEFITS TO THE CLASS
Revised as of January 9th, 2015
Phone: (905) 525-9140 Ext. 22141 Fax: (905) 546-0349 http://www.macmedstudentcouncil.org
McMaster Medical Student Council, Michael G. DeGroote School of Medicine, McMaster University, 1200 Main Street West, MDCL - 3107 Hamilton, ON, L8N 3Z5 FROM YOUR CONFERENCE?
PARTICIPATION
IN
THE
Revised as of January 9th, 2015
Phone: (905) 525-9140 Ext. 22141 Fax: (905) 546-0349 http://www.macmedstudentcouncil.org
McMaster Medical Student Council, Michael G. DeGroote School of Medicine, McMaster University, 1200 Main Street West, MDCL - 3107 Hamilton, ON, L8N 3Z5
Phone: (905) 525-9140 Ext. 22141 Fax: (905) 546-0349 http://www.macmedstudentcouncil.org
>>> Conference Request Form Instructions <<< 1. The purpose of the policy is to facilitate the scholarship productivity and personal growth of our medical students by financially supporting them to attend conferences. 2. Students are eligible to receive funding both to present at as well as attend professional conferences. There is no geographic limit on the requests that may be considered. 3. Students who desire funding must submit a formal application (applications will only be reviewed once) to the MMSC at least 3 weeks prior to the start of the conference. Students must also provide conference programs along with their application form. 4. Total conference funding for the year is $6000.00. Conference funding will cover up to a maximum of $500.00 for travel, registration and accommodation during the days of the conference. 5. The maximum conference funding granted to each student from the MMSC will not exceed $500 over the course of their degree. 6. The MMSC conference grant may be used to top up funding from other sources which do not fully cover the cost of attending the conference. If the expenses are completely covered by other sources, then the student is not eligible to receive reimbursement from the MMSC conference grant. 7. Applications will be reviewed monthly. There is a monthly maximum of $2000 that may be allocated towards conference funding. 8. If the conference is cancelled, the student decides not to attend, or if the student is unable to obtain the required leave of absence from the program it is the responsibility of the applicant to inform the MMSC VP Finance as soon as possible in order for any payments to be cancelled or, if already paid, reimbursed. 9. The policy will be enforced by the MMSC VP Finance. 10. Decisions regarding special funding will be made by the MMSC executives. 11. Cheques may take up to two weeks to be processed and will be returned to your mailbox unless otherwise stated. If the request is urgent, please indicate the date in the blank space above the title of the form. You can also use this space for any further instructions you might have regarding the cheques. 12. You may want to keep a copy of the completed form for your own record keeping. If you have any questions, please contact Hrishikesh Suresh, MMSC President 2018 (
[email protected]). Revised as of January 9th, 2015