Student Scholarship Program
Submit an application for Scholarship Program for Student Members of the Society to attend the International Convention. Due by Feb. 16, 2018.
Name of Institution
Mailing Address Type
Your Mailing Address
Address, Apartment Number, City, Zip, Country
Specify degrees, diplomas, certificates, etc.
Please indicate date or year earned and name of educational institution
Relevant Professional Experience
Indicate Relevant Professional Experience
Include up to two of the most relevant publications.
Indicate your most relevant publications:
Please list publication name and date.
If you have been selected or plan to present a research paper or poster at the International Convention, please provide the details below:
200 words maximum
Statement of Eligibility
Explain the scientific merits and broader impacts of your research, and provide any other information to support your application (200 words maximum)
Please list your estimated expenses to attend the International Convention in US Dollars.
Convention Registration Fee
Please list any other expenses anticipated and amount(s).
APPLICATION SUBMITTAL & CERTIFICATION
By submitting this form you certify that you have read and accepted the Student Scholarship Program Guidelines and that the statements given in this application are true.
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