The California Health Care Information Technology 2004 Conference offers a limited number of Tuition Waiver Scholarships and Travel/Room Reimbursement Grants in amounts up to $500 to qualifying representatives of nonprofit providers and hospitals, educational institutions, and governmental agencies. Individuals can apply for a Tuition Scholarship and/or a Travel/Room Reimbursement Grant by marking appropriate boxes below. Scholarship and Grant applicants must complete and submit this Application form on or before October 29, 2004. Qualifying scholarships and grants will be awarded on a rolling forward basis commencing October 1, 2004. A variety of factors will be considered in determining the issuance of scholarship or grantaid. These factors include financial need and the desirability of geographic and organizational representation to the Conference. Funding for scholarships and grants is limited.