10th Annual AUA/AACU Urology Joint Advocacy Conference
NEAUA Essay Competition

The New England Section will fund the trip of two residents or fellows in 2015 to attend the 10th Annual AUA/AACU Urology Joint Advocacy Conference in Washington, DC, as it recognizes that engagement of young urologists in urologic advocacy is important to the specialty. To apply for this funded trip, please complete the information below and submit along with your essay and confirmation from your Program Director by January 2, 2015.

All fields are required.
Applicant Information
1. First Name:
2. Last Name:
3. Institution:
4. Address:
5. City:
6. State:
7. Zip:
8. Email:
9. Phone:
10. I am a: Resident
Fellow
11. Year of Anticipated Program Completion: (yyyy)
12. Date of Birth: (mm/dd/yyyy) Month: Day: Year:
13. Upload a 1-page essay outlining your interest in urology/healthcare policy and advocacy and how attending the 10th Annual JAC would support your interest and future aspirations:
 
14. Upload a brief letter from your Program Director confirming that if selected, you will be able to attend the 10th Annual JAC March 8-10, 2015 in Washington, DC:
 
New England Section of the American Urological Association, 500 Cummings Center, Suite 4400, Beverly, MA 01915
Phone: 978-927-8330 | Fax: 978-524-8890