Lynne Doll Grant Application Form


| Resume a previously saved form
Resume Later

In order to be able to resume this form later, please enter your email and choose a password.

Congratulations on completing your study, funded by a J. Patrick Barnes Grant of The DAISY Foundation. If you are a DAISY Grantee and are applying to present your findings at a professional conference, we will be happy to help you with your expenses, up to $2,000. We will help you fund travel expenses, poster production, etc.

Please provide the following information:

Tell us about the conference at which you plan to present. (We will fund one conference per study.)

Funding Requested

Funds will be dispersed with receipts once you have returned from your conference. Please note how much you estimate your expenses will be below, not to exceed $2,000.

Mailing Address for Payment

Please plan to send your receipts to

The DAISY Foundation
PO Box 788
Glen Ellen, CA 95442

Include with your receipts:

  • A photo of you at the conference
  • A scan of the program page on which your presentation is listed


Please enter the characters you see in this picture:

This helps prevent automated form submissions. If you are not sure what the characters are, make your best guess. You will have another try in the next screen.
Can't see the image? Click here for an audible version in English.

Need assistance with this form?