Snack Fund Request Form | Professional Association of Resident Physicians of Alberta

Snack Fund Request

Return to Snack Fund information page.

Resident Information

Name *Please provide your name

Email address *Please provide your email

University *Select your university

Program Information

Applicant’s program information

Are you applying on behalf of Multiple programs?Please select Yes No

Program(s) *Name of program(s)

Program Size *How many resident physicians are in your program(s) Less than 20 resident physicians ($50 per quarter) 20–29 resident physicians ($100 per quarter) 30-49 resident physicians ($150 per quarter) 50-99 ($200 per quarter) 100 or more resident physicians ($250 per quarter)

Gift Card OptionIf you choose this option, PARA will send you a gift card by email, however you must still submit an itemized receipt. If a receipt is not received by the submission deadline, the program will no longer have access to the Snack Fund