The Western Society of Electrodiagnostic Technologists is the oldest society of its kind in the United States. It was founded to help in the continuing education of Electrodiagnostic technologists in the Western United States.

 

WSET online scholarship form

WSET offers scholarships to the Annual Meeting each February
Win a scholarship to WSET's Meeting
Each year WSET awards two or more scholarships for $200 each.
Why not apply ? You may be the winner !

YOU MUST BE A MEMBER TO QUALIFY FOR THE SCHOLARSHIP!

MEMBERSHIP FORM

 

 Send to: Contact Katie Clark at WSET@comcast.net  

First Name                          Last Name  

Credentials
Address:
City: State Postal Code:
Home Phone Number      Work Phone Number:
Our Website is our main source of communication with our members.
It is updated monthly and includes WSET Newsletter, Meeting information, Technical tips, Yellow Pages, Job postings and much more.  PLEASE INCLUDE YOUR EMAIL ADDRESS
Main E-mail:    
 
Employer
Address:
City: State Postal Code:
Years of Experience in Electroneurodiagnostics 

     Describe in general your recent electroneurodiagnostic work experience:

Please provide us with some information about yourself and how attending this meeting will benefit you:

 

Your signature on this document is proof of your agreement/understanding that some funding to attend
the WSET Annual meeting may be awarded to you subject to the approval of the WSET Board of Directors.
Funds will be reimbursed, if available, no more than three months after travel and attendance has been completed.
Financial assistance is reserved for those not receiving financial aid from your place of employment
(other than getting "pay for days off").
Eligibility: You must be a paid member of WSET prior to applying for this scholarship.

Your signature / date: Type your full name, When form is submitted this will be used as your full signature. This will be an understanding of previous paragraph (Your Signature) PLEASE PRINT AND SIGN prior to submitting.  If you are selected to receive this scholarship, please bring signed form to this years Conference for verification.

Thank you,

 
 

Please make sure all information is correct before you hit submit

Please Print this form.

Click the submit button, you will see a confirmation that your application  has been sent. 

Please bring this letter to the conference if notified to receive your scholarship

Thank you.

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