ANA2026 Dependent Care Grant Application

Application Submission Deadline: Friday, August 28, 2026 at 11:59 PM PT The American Neurological Association (ANA) provides grants of up to $500 USD to assist Annual Meeting poster presenters who have costs associated with the care of a dependent or dependent(s) during their live poster presentation(s) at ANA2026.

"*" indicates required fields

Section I: Applicant Information

Applicant's Name*

First Last

Applicant's Credentials*

Please use all uppercase letters (MD, PhD) Please refrain from using periods (i.e.. M.D., P.hD)

Applicant's Position*

Applicant's Institution*

Department*

Email*

Contact Number*

Section II: Dependent(s) Information

Dependent 1 Name*

First Last

Dependent 1 Date of Birth*

Dependent 2 Name

First Last

Dependent 2 Date of Birth

Dependent 3 Name

First Last

Dependent 3 Date of Birth

Dependent 4 Name

First Last

Dependent 4 Date of Birth

Reason for Applying*

Section III: File Uploads

Budget Upload*

Accepted file types: txt, doc, docx, pdf, xlsx, Max. file size: 2 MB.

Please upload a budget that details expenses associated with the care of the dependent(s) during your poster presentation during ANA2025.

Section IV: Dependent Care Provider Information

Contact Name*

First Last

Position*

Company Name*

Address*

Contact Number*

Email*

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The American Neurological Association is dedicated to academic neurologists and is unable to provide medical advice or refer individuals to specific physicians.