Region FASTRAC Support

Region FASTRAC Support

Are you an ACFAS Resident Member who has a case study that you'd like to publish in FASTRAC, the College's open-access journal? Want financial help to get the job done?

The College's local Regions want to help you! Each of the nine ACFAS Regions will support one local Resident Member who's submission is accepted for publication in FASTRAC on a first-come first-served basis. Residents will be fully reimbursed for the cost of the publication.

Complete this form to apply!

ACFAS Region*

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ACFAS Member ID

Last Name*

First Name*

Street Address*

City*

State*

Zip Code*

Cell Phone*

Email Address*

Title of Submission*

Brief Abstract*

Primary Author*

Co-Authors*

Residency Program*

Residency Program Director*

Residency Year*

Select or enter value

Additional Sources of Funding*

Acknowledgement*

I acknowledge that I am an ACFAS Resident Member in good standing, and if, chosen to receive support, I am prepared to submit my research into the FASTRAC Approval system.

Signature*

Please enter your full name as your signature.

Date*

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