Kavli IFN Education Fund Application
Email address *
Date: *
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YYYY
Name: *
Email Address: *
Position: *
Required
Site Location (UCSF, LBNL, LLNL): *
Required
Title of proposed activity: *
Number of expected attendees: *
Description of the proposed activity (please provide one to two paragraphs) *
Estimated activity date: *
MM
/
DD
/
YYYY
Budget (not to exceed $10,000, cannot be used for salaries) *
A copy of your responses will be emailed to the address you provided.
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