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Travel Awards

  The application deadline has been extended from July 15th, 2003 to July 31st, 2003.

To apply for a Travel Award, please submit the following using the form below:

  • an abstract
  • a short biosketch
  • a letter of reference from your mentor
    (e-mail separately to: Cynthia Cousens-Jacobs at cjacobs@pndri.org)
  • an estimated expense report for your travels which should include the registration fee, accommodations and transportation.

Awards will be made to presenting speakers who as junior faculty, postdocs, grad students or research assistants are seeking support. Contribution will be made towards travel, registration and accommodations. The amount of each award is dependent on available funds.

Please fill in the following information. You can either submit the form online by pressing the "Submit Travel Request" button, or you can send it by fax to the number at the bottom of the page.

Contact Information
Title  Academic Faculty
  Industry Scientist
  Postdoctoral Fellow
  Student
  Technician
 
Corresponding Author First Name:
 
Last Name:
 
 
Organization
   
Address
   
City
State  ZIP: 
Country
 E-mail address
 
Abstract Information
 
Title of abstract:
Authors:
Organization:
Abstract:
Essential figures and references can be included.
Keep within one page. Please spell out Greek symbols
e.g. use "beta" instead of "ß"
Biosketch
Please be brief
Estimated expense report
Please itemize

If you are not submitting your travel award request on-line, you can print a copy of this form and fax it to Cynthia Cousens-Jacobs at (206) 726-1202.