Acceptance of Nomination
Step 1 - Please enter the Invitation Number* listed in the upper right corner of your Acceptance of Nomination Form and then click Verify Me:
If you don't have your invitation number, please contact us by phone at (202) 818-8319 or by email at email@example.com
Step 2 - Read and agree to the terms and conditions:
National Academy of Future Physicians and Medical Scientists Congress ??? Enrollment Terms and Conditions
Please read carefully and discuss with the selected student.
1. THE CONGRESS OF FUTURE MEDICAL LEADERS
As a nominee of the National Academy of Future Physicians and Medical Scientists, Inc. (Academy), to attend the 2014 Congress of Future Medical Leaders (Congress), the nominee student (Student) is eligible to attend and receive all privileges of the Congress on the following terms and conditions.
2. DEADLINE FOR ACCEPTANCE OF NOMINATION
The enclosed Acceptance of Nomination form must be postmarked or completed at www.FutureDocs.com/accept or faxed to (888) 453-6660 by midnight of the deadline date stated on the Acceptance of Nomination form . Acceptance of Nomination forms are processed on a rolling basis in the order that they are received, and incomplete or unsigned forms may delay enrollment. Should all space in the Congress be filled when the Student's application is processed, any payments will be returned.
3. TUITION; CONCIERGE PACKAGE
Tuition: The Acceptance of Nomination form must be accompanied by full payment or first payment if you selected the Extended Payment Plan. If any payments are not received by the deadline, or if your credit card is declined, the Student's acceptance may be cancelled.
Tuition covers attendance at the Congress, the curriculum, materials, and the National Academy of Future Physicians and Medical Scientists Award of Excellence. Tuition does not include food, beverages, lodging, travel, local transportation or any other expense.
Concierge Package: For an additional fee, you can elect on the Acceptance of Nomination form to have the Academy arrange local transportation and accommodations for Students traveling without Parents. Services include:
- greeting of Students upon arrival at Reagan National, Dulles International and BWI airports, and at the Union Station train station;
- Transportation of Students to hotels, to and from the Congress, and to designated departure locations; Hotel accommodations (double or triple occupancy) for three nights, including daily breakfast and a casual dinner on Friday; and
- Resident Assistants who will stay in hotels with Students and be available overnight to address Student concerns.
4. STUDENT CODE OF CONDUCT
The Congress is an academic conference and honors program requiring the highest standards of behavior. The Student agrees to conduct him/herself in accord with that standard; abide by the laws of the District of Columbia; not use tobacco, alcohol or nonprescription controlled substances at any time; conduct him/herself in a civil and respectful manner at all times; follow the instructions of the Congress staff; and abide by all rules of the Congress. You understand and agree with this Code of Conduct and have discussed it with the Student.
You understand that if the Student's behavior is deemed an infraction of the Student Code of Conduct in the discretion of Congress staff, that infraction may result in the Student's immediate dismissal from the Congress, denial of the Student's Award of Excellence and forfeiture of all Congress tuition paid . The Academy does not intend to monitor the conduct of Students beyond what is necessary to maintain the quality and academic demeanor of the Congress and its sessions, but it may take all reasonable steps to ensure compliance with this Code of Conduct.
5. CANCELLATION AND REFUND
Any cancellation and request for refund must submitted in writing and must be signed by the Parent/Guardian who signed the Acceptance of Nomination form. Cancellations received 60 days or more before the start of the Congress will receive a full refund . Cancellations received fewer than 60 days before the start of the Congress will receive no refund.
Any Student dismissed from the Congress for a violation of the Code of Conduct or who leaves the Congress early for any reason whatsoever is not eligible for any refund of tuition or any fees.
6. NATIONAL ACADEMY OF FUTURE PHYSICIANS AND MEDICAL SCIENTISTS MEDICAL SCHOOL SCHOLARSHIPS
The Academy will award one full medical school scholarship covering tuition fees only to a U.S.-based medical school (up to $185,000) to one Student attending the Congress. In addition, two $10,000 medical school scholarships will be awarded to the runners-up. Collectively known as the "National Academy Scholarships," these scholarships will be awarded through a merit-based academic challenge. Students must successfully complete the Congress to be eligible and must have submitted suitable evidence of a minimum 3.5 or above GPA (or the equivalent), either cumulative or current.
The funding of each National Academy Medical School Scholarship is contingent upon the Student's full-time enrollment in a licensed U.S. medical school. The National Academy Scholarships will be funded pro rata on a semester basis and will be applied directly to the Student's individual account at the medical school. The scholarships are valid for up to four years or eight semesters of medical school, in an amount not to exceed $185,000. A National Academy Scholarship cannot be combined with other scholarships or grants so that the total amount of all such scholarship, grants and awards exceeds the Student's actual invoiced cost of tuition; in such event, the amount of this award will be reduced to the amount due for the Student's actual tuition fees owed. If a Student does not elect to enter medical school or fails to complete medical school, the National Academy Scholarships will not be available to such Student. All medical school programs to which the Scholarships are applied must be completed before January 1, 2024 . National Academy Scholarships are nontransferable and have no cash value. Scholarships are for tuition fees only, and in the event that the Student's actual tuition fees paid through graduation from medical school are lower than $185,000, there is no residual cash value.
The National Academy Scholarships are bona fide scholarships awarded on the basis of an academic competition held in connection with the 2014 Congress of Future Medical Leaders. The winners will be selected by an independent panel. The National Academy Scholarship award is not a promotional contest, a lottery, a sweepstakes or any other form of such offering; the offer of the National Academy Scholarship is void in any jurisdiction that prohibits or regulates such an offering. In all matters relating to the National Academy Scholarships, the decision of the National Academy of Future Physicians and Medical Scientists is final.
7. STUDENTS WITH SPECIAL NEEDS
The Academy encourages participation of Students with special needs, including Students with disabilities. The Academy may be able to provide appropriate auxiliary aids and services to assist Students with special needs to benefit from participation in the Congress . Students with special needs and their Parents, Guardians, legal representatives or educators are encouraged to contact the Academy for more information and to discuss particular needs before they apply for the Congress. Please see more information on this below.
8. MODIFICATION OR CANCELLATION OF THE CONGRESS
The Academy reserves the right to modify or cancel the Congress because of health or safety issues or other issues including, but not limited to, acts of God, travel or activity delays or cancellations, acts or omissions of government authority, compliance with government regulations, and any other cause or event beyond the reasonable control of the Academy.
In the event that the Academy cancels the Congress, tuition payments received will be refunded in full. In no instance shall the Academy be responsible for any expenses incurred by the Parent or Student outside of those expenses listed in the "Tuition" section above, including without limitation all expenses for travel to the Congress city and any other expenses or damage incurred or claimed by the Parent and Student.
9. EQUAL OPPORTUNITY AND ADA COMPLIANCE
The Academy complies with all applicable federal and state nondiscrimination laws and does not engage in discrimination. The Academy admits qualified Students without regard to race, color, sex, religion, national or ethnic origin, disability, age, sexual orientation, place of residence or any other basis prohibited by law to all rights, privileges, programs and activities generally accorded to Students at the Congress. Further, the Academy complies with all applicable federal, state and local laws in connection with Students with disabilities or with special needs, including the Americans with Disabilities Act.
The Student and Parent grant the Academy and its assignees, licensees, agents and representatives permission to use the Student and/or Parent's name, city, state, school name, voice, likeness, comments, submitted documentation, written papers and/or biographical information including, without limitation, as the same may be embodied in photographs, audiotapes, videotapes, movies or otherwise in which the Student and/or Parent may appear in connection with the Congress, and any information obtained by the Academy relating to the Student and or Parent through the Student and/or Parent's participation in the Congress, for marketing, publicity or educational purposes.
The Academy respects each Student and/or Parent???s privacy rights in all personal information and identity and does not sell or give away Student data or information to any third party.
11. EMERGENCY MEDICAL AUTHORIZATION
Should a Student become ill, be injured or require emergency or other medical treatment including hospitalization and/or surgery during the Congress, the Student and Parent hereby request, authorize and give full permission and consent to the Academy to act on the Student's and Parent's behalf and in their stead until such time as an Academy staff member can notify the Parent/Guardian of the situation. The Student and Parent understand and agree that in any such event, the Student may be taken to a hospital emergency room and examined by an emergency room physician. The Student/Parent agree to be solely responsible for all expenses incurred as a result of any accident, illness and/or injury suffered by the Student and to reimburse the Academy for any such expenses it may incur. The Student and Parent hereby release and hold harmless the Academy from all claims, demands, damages and expenses, whether known or unknown, resulting from, rising out of or incident to the Academy's actions taken pursuant to this authorization .
12. RESPONSIBILITY; RESOLUTION OF DISPUTES
The Student and Parent each hereby release the Academy and each of its directors, officers, employees, agents, representatives and affiliates from any and all loss, liability, cost or expense arising out of the Student's participation in the Congress and the Student's
travel to and from the Congress, or arising in connection with or resulting from any acts or omissions of any third party, including, but not limited to, any third-party vendors, contractors or suppliers who render services to the Academy in connection with the Congress. The Student and Parent agree to indemnify and hold harmless the Academy from any and all loss, liability, damage, cost or expenses that the Academy may incur that are caused directly or indirectly by the conduct or actions of the Student while participating in the Congress. The Academy shall not be liable for any loss, damage or expense resulting from any activity delays or cancellations, acts of God, acts or omissions of government authority, compliance with government regulations, or any other cause or event beyond the reasonable control of the Academy.
The Academy convenes the Congress in the spirit of education; it makes no warranty or promise that any certain outcome or benefit will be achieved. Indeed, the ultimate value of the Congress is a matter of what the Student is able to take away from it. The sole remedy for any breach of this Agreement is set forth below. Under no circumstance may either party be liable to the other for consequential or special damages, for any action for damages arising from a breach of warranty, or for any action organized as a class action.
In the event of a dispute between the Student or Parent/Guardian and the Academy, the following process shall apply. The Student or Parent shall send written notice of the issue to the Academy within 30 days of the dosing date of the Congress. The Academy shall respond in writing within fifteen days . If that response is not satisfactory to the Parent, then the Parent agrees that any such dispute or complaint shall be decided by binding arbitration under the Commercial Rules of the American Arbitration Association, applying the law of the District of Columbia. Each party shall bear its own costs of such arbitration. The Student and Parent agree that this shall be the sole remedy for resolution available under this Agreement. In the very unlikely event that the Academy has an unresolved dispute with the Student and/or Parent, it agrees to follow the same procedure.
13. ENTIRE AGREEMENT
These Terms and Conditions, together with the Acceptance of Nomination Form, constitute the entire understanding between the parties with respect to its subject matter, superseding and replacing any and all prior agreements, communications, and understandings, both written and oral. Any amendment to this agreement must be in writing signed by all parties.
Step 3 - Select your payment option:
Full Details for the Nationwide® Tuition and Travel Protection Plan
We are pleased to offer your child, as a participant in the Congress of Future Medical Leaders, our Tuition and Travel Protection Plan insured by Nationwide® at a cost of $115. The Plan provides cancellation protection to safeguard your tuition investment, as well as important coverage while traveling. The plan includes the following:
Trip Cancellation (up to tuition cost): Students who cancel for covered reasons (as set forth in the Certificate of Insurance), including accident, sickness, or terrorist incident, will be reimbursed for nonrefundable tuition. The full tuition of $1,585 will be refunded for those enrolled in the Tuition and Concierge Package. Any convenience fee for multi-pay is not covered.
Trip Interruption (up to 150% of tuition cost): Students who cancel for covered reasons, including accident, sickness, or terrorist incident will be reimbursed for nonrefundable airfare, train, hotel, and car rental cancellation charges associated with travel to the Congress. *Please note that the insurance covers only charges that directly involve the student. We strongly recommend purchasing additional insurance that is offered when booking parent and other family member air or train tickets. This is typically a small additional fee, usually less than $20.
Trip Delay ($150/day up to $600): Provides coverage for reasonable additional expenses incurred due to delay of a common carrier or closed roadway.
Baggage Protection ($1,500): Reimburses replacement of baggage and personal property that is lost, stolen, or damaged.
Baggage Delay ($500): Reimburses expenses of necessary personal effects if your checked baggage is delayed or misdirected by a common carrier.
Accident Medical Expense ($25,000): Reimburses costs incurred as the result of an injury during the trip.
Sickness Medical Expense ($25,000): Reimburses costs incurred as the result of an illness during the trip.
Emergency Evacuation ($100,000): Provides transportation by air or ground ambulance to the nearest medical facility in the event of a medical emergency or emergency medical evacuation of the insured???s place of residence. Language interpretation services are also provided in the event of an emergency. For more specific questions call On Call International at (855) 892-6489.
Travel Assistance and Concierge Services (included and available 24/7): Provides services to assist with last minute changes in flight or hotel arrangements, transportation arrangements such as car rentals, and transportation to and from the airport or train station. Also provides tourist information and help with replacement of prescription drugs or eyeglasses. For more information on all other travel and concierge services provided, call On Call International at (855) 892-6489.
If you have any further questions or would like more information regarding the complete details of the plan terms, conditions, and exclusions, please view the Certificate of Insurance links below or call Nationwide®???s Plan Administrator at (866) 223-4772. The Certificate of Insurance will also be sent to you via email upon acceptance and payment to the National Academy of Future Physicians and Medical Scientists.
*Please note again that the coverage of this plan extends only to costs and services involving the student. Things such as transportation tickets and medical attention for companions, and additional hotel rooms that the student will not be residing in are not included.
This Plan, #NWT200903, is underwritten by Nationwide Mutual Insurance Company.
Certificate of Insurance Details and State Specifc Documents