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Dreitzler International Clinician Fund Application

Please read the Grant information and requirements before proceeding.

The following application form and all required documentation must be received by TDF's office at least 75 days prior to the start of the event to be considered.

We encourage you to review this application and gather all materials prior to starting the online application process. Once you start, your work cannot be saved.  Helpful tip -- type your answers into a word document, save, and then copy and paste your answers into this form. The link to download the Word file is available in the right-hand sidebar of this page.

Please check required fields before submitting.

First Name *
Last Name *
Country
Address Line 1 *
Address Line 2
City *
State/Province *
Postal Code *
Instructional Program
Event Details
Start Date
End Date
Name of Facility, Type of Facility
Other Information
Financials
Format should be Word, PDF or Excel documents.
No file selected
Maximum Amount Typically $2,000

Important Notes

You will be notified that the application has been received within 2 business days. If you do not receive email confirmation that your application has been received, please call our office at (402) 434-8585.  Additionally, if you have any questions regarding the application, feel free to contact us. Thank you!