EDI Bursary Form

Name*
First Last
Institution*
Job title*
Email*
Why would you like to attend the AUA Annual Conference?*
How do you identify as a member of an underrepresented group?*
How will you use the opportunity to enhance your professional development?*
How will your experience benefit the wider AUA community and be used to develop others?*
Please tick to confirm the following:*
- I am able to attend the AUA Annual Conference on 2-4 July 2023
- I am currently an AUA member and will remain a member until at least the dates of the conference
- I am unable to obtain funding for a conference place