ASA Dependent Care Grant Form The ASA Dependent Care Grant, funded by the Robertson Fund, was made possible by a generous gift from Dr. Claire Robertson. Established in 2025, the ASA Dependent Care Grant supports dependent care for ASA members attending the Annual Meeting. The grant realizes a founding goal of the ASA Women’s Caucus in 1970, as stated in the Resolutions on the Status of Women.Name* First Last Preferred Pronouns* She/Her He/Him They/Them Prefer not to specify Other (please specify below) Other pronouns:Email* Phone Number* Institutional Affiliation*Please list your academic institutional affiliation. Are You an Emerging Scholar? (Current student or 5 years post-graduation)This question is for demographic purposes only. Yes, I am an emerging scholar current student. Yes, I am an emerging scholar within 5 years post-graduation. No, I am not an emerging scholar. Title of Session You’re Presenting On (leave blank if not applicable)Estimated Arrival Date* MM slash DD slash YYYY Estimated Departure Date* MM slash DD slash YYYY Preferred Method of Payment* Wire Transfer PayPal Zelle Check Briefly describe how you plan to use the dependent care grant (e.g., childcare arrangements, elder care, etc.):*This helps us understand attendees’ care needs.CAPTCHA Δ
