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      Home » Compliance & Ethics » Third-Party Grants and Donations Request – United States » Educational Grant Request – United States

      Educational Grant Request – United States

      Please fill out the form below for your request to be considered. 

      "*" indicates required fields

      Organization Requesting Grant

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      Primary Contact

      Organization Receiving Grant

      Address
      Primary Contact

      Grant Recipient Information

      Type of Request*

      *Please note that, in general, only grant requests completed in full and received by the Merit Grant Committee at least four (4) weeks prior to the start of the program will be considered.

      Educational Program Information

      Will there by other supporters of this program?

      Program Attendees & Details

      Is the educational program CME-accredited?

      *For educational programs, a copy of the proposed budget must be submitted with this Grant Request.

      Required Documents

      The grant request will be declined unless you provide the following documentation with this form:
      Accepted file types: pdf, png, jpg, gif, doc, docx, docm, Max. file size: 50 MB.
      Accepted file types: pdf, png, jpg, gif, doc, docx, docm, xls, xlsx, xlsm, Max. file size: 50 MB.
      Accepted file types: pdf, png, jpg, gif, doc, docx, docm, xls, xlsx, xlsm, Max. file size: 50 MB.
      Max. file size: 50 MB.

      Acknowledgement

      By submitting this grant request you certify that to the best of your knowledge, all information set forth in this form is correct and complete, and is in compliance with Merit’s Compliance Program (attached below). You also certify that the grant is not for the purpose of inducing someone to purchase, prescribe, endorse or recommend a product, or otherwise for the purpose of obtaining or retaining business or gaining an improper business advantage.

      Submission of this Grant Request and the foregoing documentation does not guarantee approval of the request. In addition, past funding does not guarantee future approval. Merit will only pay grants upon approval by the Merit Grant Committee and after the Grant Agreement has been signed by Merit and the Grant Recipient. The Merit Grant Committee reserves the right to award less than the amount requested.
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      • Third-Party Grants and Donations Request – Asia Pacific
        • Grants and Donations FAQs – Asia Pacific
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        • Grants and Donations FAQs – U.S. and Other Countries
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