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2027 Annual Patient Conference Travel Reimbursement Award Application

April 9-11, 2027 | Crowne Plaza Atlanta Perimeter at Ravinia | Atlanta, Georgia

Award Benefits

Two hotel accommodations (Friday and Saturday nights) reserved within our conference room block at the Crown Plaza Atlanta Perimeter at Raviania.
Travel reimbursement up to $500 for approved documented expenses.

1. Eligibility Screening

I am a cutaneous lymphoma patient.
I can attend in person April 9-11, 2027.
I understand travel reimbursement is limited to approved documented expenses up to $500.

2. Applicant Information *This question is required.

Full name:
Email:
Phone:
Address: Street
City
State
Zip
Applicant Type (patient/care partner)
Diagnosis Type:
Year Diagnosed:

Conference Experience & Community Engagement

3. Is this your first CL Foundation Patient Conference? *This question is required.

4. How long have you been engaged with the Foundation? *This question is required.

5. Describe Foundation webinars, networking groups, advocacy activities, volunteer involvement, fundraising efforts, or other community engagement experiences: *This question is required.

Essay Questions

6. Financial Need:
What financial barriers make attendance difficult? *This question is required.

7. Expected Benefit:
What do you hope to learn, and how will attendance benefit you or your family? *This question is required.

8. Why Now?
Why is attending the 2027 conference particularly important at this time? *This question is required.

9. Community Impact:
How will you share what you learn with others after the conference? *This question is required.

Certifications and Acknowledgements

10. Certifications and Acknowledgements

I certify that the information provided is accurate.
I understand that travel reimbursements are issued after conference attendance and receipt submission.
I understand travel reimbursement is limited to approved expenses up to $500 USD.
I understand that in-person conference attendance is required to receive reimbursement.
I agree to provide a post-conference evaluation, testimonial, photo, and/or video reflection if selected for an award.
I understand applications are reviewed using a competitive scoring process and submission does not guarantee an award.
If traveling internationally, I am responsible for obtaining all required travel documentation.