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Application for Neil Segil Stem Cell Travel Scholarship
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Student name *
Student email
 *
PI name *
Brief description of student's research (150 word limit) *
Name and location of meeting *
Date of meeting *
MM
/
DD
/
YYYY
Brief justification of choice of meeting and anticipated value of attendance to student's career (200 word limit) *
Do you plan on presenting either a poster or platform presentation? *
Required
Funds requested ($ amount) *
Brief description of use of requested funds (80 word limit) *
Brief supporting statement from PI (100 word limit) *
Student electronic signature and date
 *
PI electronic signature and date
 *
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