Travel support for the 2016 Liege Colloquium (participants outside US)
Note that a different form is available for US participants on the colloquium website http://modb.oce.ulg.ac.be/colloquium/.
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Full Name  (First [middle] Last) *
Current Institution (name and country)
Institution affiliation in May 2016 (indicate if expected to be different than the current)
Year of PhD  (received or expected)
Education and employment history (if any). For PhD students and post-docs please include also the title of your PhD thesis.
List of peer-reviewed publications (if available). If you can, please include DOIs (digital object identifiers) for your publications.
Other information such as awards or non-peer reviewed publications
Areas of research
How will this meeting contribute to your development / research? (only for master students, PhD students and post-docs; in about 100 - 200 words)
If you were offered a travel subsidy, would you be able to find the remaining support, if needed for travel?
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