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ACDS Fall Meeting Resident Travel Award Application

Thank you for your interest in applying for the ACDS Fall Meeting Resident Travel Award. Please complete the below information and submit by Monday, August 25, 2025, to be considered for the award. Recipients will be notified by September 5th. We encourage you to register for the Basics Patch Testing Workshop and the Fall Meeting prior to notification of the award to secure your space, as availability is limited.

Please contact info@contactderm.org or call 414-918-9805 with any questions you might have.

* = indicates required field

Applicant's Contact Information

First Name*:

Last Name*:

Street/Mailing Address*:

City*:

State/Province*:

ZIP/Postal Code*:

Country*:

Email*:

Phone*:

Residency Program*:

Graduation Date*:

Additional Information

Please describe your interest or background in contact dermatitis.* (limit 300 words)

What is your favorite contact allergen? Why?* (limit 300 words)

Upload a copy of your CV*:

Upload a reference letter from an ACDS member in good standing*:

ACDS Fall Meeting Resident Travel Award Application

Applicant's Contact Information

Additional Information

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