Symposium Scholarship Application
We are so excited that you want to attend our symposium! We will be taking applications for the next few weeks and will make our final decisions by May 15th.
Contact Information
First Name
LastName
Email
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Condition of Interest
Relation to Condition
Year Diagnosed
Current Address
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City
State
Zip Code
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Do you need to update your address?
Yes
No
Updated Address
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Questionnaire
Have you ever attended a GBS|CIDP Symposium before?
Yes
No
Have you ever received a GBS|CIDP Scholarship before?
Yes
No
Do you require a care partner for travel?
Yes
No
Please share with us why you would benefit from attending the 2025 GBS|CIDP Symposium:
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