EXCHANGE FELLOWSHIP APPLICATION

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Please email the EC (isb@biocurator.org) to let them know that an application has been submitted.

If you are a current ISB member please provide the email address associated with your ISB membership

Email *

Applicant Name *

Applicant Title
*

Applicant Affiliation (Department, Institute, City, Country)
*

Do you work in a low to middle income country as classified by the Wellcome Trust ? *

Yes

Job title
*

Other: more information about job title

Please list any previous ISB awards you have received (and year) *

Are you a paid-up ISB member?
*

ISB membership is not a requirement to apply. If an applicant is awarded an Exchange Fellowship, they will receive one year of free membership to the ISB.

Yes

Visitation Sponsor's Title and Name *

Visitation Group/Department
*

Visitation Address including Country
*

Proposed Visit Dates and length of visit *

Proposed Visit Budget, include budget under specific headings such as accomodation, travel, subsistence, with relevant dates *

Brief description of the purpose of the exchange, including benefits expected by the exchange *

A copy of your responses will be emailed to the address you provided.

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