Funding Criteria and Guidelines (2019)
Please see the “IPAC NS Funding Disbursement Guidelines” for a complete list of criteria.
1. Only members of IPAC NS are eligible to apply.
2. In order to qualify for assistance, applicants must be an active member of IPAC
NS with a minimum membership of 12 months.
3. Educational events or courses applicable for funding must focus on an aspect of
infection prevention and control.
4. Applications for financial assistance must be received 6 weeks prior to the early
bird deadline for registration for national conferences and 4 weeks prior for other
educational endeavors.
5. Applications must include a list of all approved or pending funding sources.
6. The Finance Committee will determine the amount of funding to be received
considering the budget and the number of applicants.
7. 50% of the costs of the successful initial certification or recertification of the CIC
examination are eligible for funding.
8. Priority for funding will be provided to applicants who:
a. have not received funding in the last 12 month
b. providing a poster or oral presentation

9. Successful applicants must submit itemized receipts to the IPAC NS Treasurer
using the IPAC NS Expense Form.
10. Reimbursements of all approved expenses will be made by cheque.

First Name*

Last Name*

Address

City

State/Province

Zip/Postal Code

Email Address*

Phone

Travel Expenses

Work Address

Date of Application

Nature of Financial Assistance Request

Conference or Educational event

Education Program (e.g. Course)

CIC Examination (first attempt at initial certification or recertification only).

Current IPAC member

Yes

No

If current member, please provide your member number

Number of years IPAC NS member

Part One: Conference or Educational Event Only

Please provide description of Event

Date of Event

Location of Event

I am presenting an oral or poster presentation at this event?

Yes

No

Detail Expenses of Funding Event:

Registration Amount ($)

Accomodation:

Cost per night ($)

Number of Nights

Meals

Total Breakfast Amount ($)

Total Lunch Amount ($)

Total Dinner Amount ($)

Other Amounts (please specify)

Total Expense Amount

Please List Any Additional Funding Sources and Amount (Non-IPACNS):

Conference Essay

Please explain how this educational event/course or certification will contribute to your professional development, what you will gain from this opportunity and how will you will share this knowledge (Maximum 250 words. Attach a separate sheet if required)

Active Involvement in IPAC Canada and/or IPAC NS:

IPAC NS

Member of Current Executive

Yes

No

Member of Past Executive (within past 2 years)

Yes

No

Member of Committee(s)

Educational contribution(s)*

IPAC Canada

Member of Executive/Board

Yes

No

Past Member of Executive (within past 2 years)

Yes

No

Member of Committee

Educational contribution(s)

Please list all previous funding received from IPAC NS in the past three years. (include dates)

Note for all applicants for conference/educational events:

If attending the national IPAC Canada conference, you may be required to attend an Interest Group meeting or other meeting.

Do you agree to the above?

Yes

No

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