FTEDG

The Foundation for Endodontics will provide AAE Educator Members reimbursement up to $1,500 to attend any of the meetings listed below. The goal of a single funding opportunity is to provide greater flexibility for applicants and to ensure that educators are getting professional development opportunities that meet their individual needs. This grant reimburses for expenses related to meeting registration, lodging, and travel. Meals are not eligible for reimbursement. Applicants should complete the registration process for the meeting/s they wish to attend and pay registration in full. Reimbursement will occur after the meetings attended by the applicant have concluded and only after proof of registration, travel, and lodging expenses are submitted via this application. Please submit the application form, letter verifying full-time faculty status, and all applicable receipts at one time via this form. If you plan to use the funding to attend more than one meeting, please delay submitting this application until after each meeting has concluded.

ELIGIBILITY
Full-time educators who meet the criteria listed below are eligible.
1. The applicant must be a full-time educator as defined by their respective institution. Applicants must be involved in pre-doctoral and/or postdoctoral teaching (graduate endodontic programs/GPR programs/AEGD programs).
2. Applicants may be general dentists, researchers or endodontists, but must be members of the AAE. Non-members must file a membership application to be eligible.
3. Applicants must be teaching in accredited U.S. or Canadian dental schools or medical schools/centers. Along with the completed form, the applicant must provide a letter from the institution’s dean or administrative head confirming the school’s criteria for classification as a full-time faculty member and also confirming the individual’s status as a full-time faculty member.

DEADLINE FOR APPLICATIONS
The application deadline is December 31 of each year. You may apply only once per calendar year and unused funds do not roll over.

In order to receive payment, you must complete and submit our ACH form and a W-9 form (US applicants) or W-8 (international applicants).

By law, we must collect the social security number of anyone who receives taxable income form the Foundation for Endodontics. Please note that if the funds received (not including reimbursements) as an individual from the Foundation for Endodontics exceed $600 in the calendar year, they will be recorded as taxable income, per the IRS. If you receive less than $600 of income from the Foundation, it will not be taxed. Allow 4-6 weeks for payment processing from the date your application is approved. Please direct questions on this matter to grants.foundation@aae.org.

ACH Form
Complete W8 Form
Complete W9 Form

Name*

First Name

Last Name

AAE Membership Number*

Academic Title*

Institution*

Number of hours/days spent teaching*

Phone*

Email*

Please list your mailing address. If you've opted to receive funding via a mailed check, we will send it to this address. *

Address Line 1

Address Line 2

City

State/Province

ZIP / Postal

Country

I have submitted my ACH form and, if approved, will receive this payment via direct deposit.*

Yes, my form has been submitted. No, a check should be mailed to the address provided.

Check this box to verify you have submitted your W-9 or W-8, form as instructed above. *

Yes, my form has been submitted.

Is this grant your sole source of funding to attend this meeting/these meetings?*

Are you seeking to "split" your available $1,500 grant funding among multiple meetings?*

Please enter the name(s) of the meeting(s) for which you are seeking funding. Funding for meetings not listed above are approved at the discretion of the chair of the Special Committee on Funding Initiatives. *

List the amount of funding (up to $1,500) that you are seeking:*

How will you benefit from attending this/these meetings?*

What do you hope to learn while attending this/these meetings?*

Please upload a letter from your institution’s dean or administrative head confirming the school’s criteria for classification as a full-time faculty member and your status as a full-time faculty member. If you are the dean/administrative head, please either seek someone senior to sign the lette or explain this in the letter you upload.*

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