AIBD Regionals - LA 2020 - Scholarship Application

Submit your application by March 6, 2020 and tell us in 250 words or less why attending the AIBD Regional in Los Angeles, CA, Saturday, March 21, will make a difference for residents/patients within your care setting.

Address

Address Line 1

Address Line 2

City

State

ZIP Code

Phone

Profession*

Specialty*

Brief Statement (limit to 250 words) please state why the scholarship would benefit your residents/patients.