ASCLS-PA
Continuing Education Assistanceship
Purpose: The Continuing Education Assistanceship Award serves to assist members of ASCLS-PA in their pursuit of continuing education in the field of Clinical Laboratory Science for the purpose of maintaining or upgrading their present position by attending a workshop, seminar, college course, or other approved program designed for continuing education in the field of clinical laboratory science.
Amount and Frequency of the Award: The ASCLS-PA Board of Directors will determine a budget amount each year.
Membership Requirements: The applicant must be a member of ASCLS/ASCLS-PA for at least two (2) years at the time of application. A member may apply more than once per year; however each member can receive no more than $250/year.
Applicants Must:
1. Submit a signed application form
2. Submit proof of successful completion of the course or program within two (2) weeks of the stated end of the course or program.
3. Maintain membership in ASCLS for one (1) year after the completion of the course or program
Continuing Education Assistanceship
Purpose: The Continuing Education Assistanceship Award serves to assist members of ASCLS-PA in their pursuit of continuing education in the field of Clinical Laboratory Science for the purpose of maintaining or upgrading their present position by attending a workshop, seminar, college course, or other approved program designed for continuing education in the field of clinical laboratory science.
Amount and Frequency of the Award: The ASCLS-PA Board of Directors will determine a budget amount each year.
Membership Requirements: The applicant must be a member of ASCLS/ASCLS-PA for at least two (2) years at the time of application. A member may apply more than once per year; however each member can receive no more than $250/year.
Applicants Must:
1. Submit a signed application form
2. Submit proof of successful completion of the course or program within two (2) weeks of the stated end of the course or program.
3. Maintain membership in ASCLS for one (1) year after the completion of the course or program
Application for ASCLS-PA
Continuing Education Assistanceship
Please complete and mail or email this application to the ASCLS-PA Treasurer
Scott Aikey
521 Mackin Drive
Cherry Hill NJ 08002
aikey@email.chop.edu
Name: ______________________________________________________________________________
Address: ______________________________________________________________________________
Email: _____________________________________ Phone: ____________________________
ASCLS Member # _______________________________________________________________
Continuing Education Program attending
Title:__________________________________________________________________________
Location: ______________________________________________________________________________
Date(s): _______________________________________________________________________
Program Sponsored by: __________________________________________________________
Reason for desiring to attend: _____________________________________________________
______________________________________________________________________________
I understand that within two (2) weeks of the end of this course/program, I must submit proof of successful completion (copy of transcript, certificate or statement from instructor) to ASCLS-PA. In the event that I have not completed the course successfully, I promise to submit a check for the amount received.
Signature of applicant: ________________________________________ Date: _____________
Continuing Education Assistanceship
Please complete and mail or email this application to the ASCLS-PA Treasurer
Scott Aikey
521 Mackin Drive
Cherry Hill NJ 08002
aikey@email.chop.edu
Name: ______________________________________________________________________________
Address: ______________________________________________________________________________
Email: _____________________________________ Phone: ____________________________
ASCLS Member # _______________________________________________________________
Continuing Education Program attending
Title:__________________________________________________________________________
Location: ______________________________________________________________________________
Date(s): _______________________________________________________________________
Program Sponsored by: __________________________________________________________
Reason for desiring to attend: _____________________________________________________
______________________________________________________________________________
I understand that within two (2) weeks of the end of this course/program, I must submit proof of successful completion (copy of transcript, certificate or statement from instructor) to ASCLS-PA. In the event that I have not completed the course successfully, I promise to submit a check for the amount received.
Signature of applicant: ________________________________________ Date: _____________
