American College of Emergency Physicians

Grant Title

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Date

1. Please provide a brief description of your progress to date

2. What are the next steps in completing this grant?

3. Does the chapter anticipate meeting the deadline for completing this grant? If not, please state the issues Yes No

If not, please state the issues

4. If you are requesting funds for this grant, please email receipts to mhancock@acep.org and any documentation of what you have completed to date.

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