CCHF Conference 2019

CCHF Conference Registration


Are you a student who needs a scholarship? Start here

2019 CCHF Conference Registration

March 28-30, 2019
Covington, KY

â€Ĥa charming city across the river from downtown Cincinnati, OH


Registration Type:

  • $325 - General
  • $285 - CCHF Partner Clinic Employees  
  • $265 - Spouse
  • $265 - Student (non-volunteer)
  • $  65 - Healthcare Student Scholarship (Subject to CCHF approval and requires 6-8 Volunteer Hours during Conference.)
  • $120 - Day Rate
  • $  95 - CE Credit - Medical (AMA PRA) or Dental (PACE AGD)  (Can be Added to any Registration Type)

Who should fill out this form?

Every conference attendee (including students requesting scholarships, workshop presenters and exhibitors)!

Registration Type - please select






(MD,DO,RN,PhD,BSW,etc.)































If yes, your organization will be billed for your fees.
STUDENT Information
Students/Residents, please provide your permanent address (Not your dorm or university PO Box)





Full school name,please

Month/Year

(FNP, BS-PreMed, MD, DO, Nursing, DDS, etc.)

Medical students may qualify for a registration rate of $65.  If you are requesting a scholarship (and are approved), please submit that fee upon completion of this form. (Non-scholarship student rate is $265). Scholarship recipients will be expected to volunteer for up to 7 hours during the conference.








$
List a basic summary of your travel expenses: gas, meals, airfare. (Do not include hotel expense).
List number of nights you will need a hotel room. The conference begins on Thursday at 1pm and ends on Saturday at 2:30pm. CCHF will handle your hotel arrangements once your scholarship request is approved.

$
If you have other costs please explain them here.

$

Scholarships are generously funded by CCHF members and member organizations that recognize the value of investing in young health professionals like you. Scholarship awards are intended to remove financial hurdles by covering travel expenses. Travel expense checks will be available when you arrive at the conference. 





 

Already Registered?  Your next step is to...

Need to register for childcare during the conference?