WCRB2017TravelGrantsApplicationForm

Applicants should read the SRB WCRB 2017 Travel Award submission guidelines prior to completing this application.

APPLICANT DETAILS
First name: / Surname:
Position:
Institution:
Postal Address:
Email: / Phone:
Month/date PhD awarded:
Travel Award category (please select) / ECR MCR
Career interruption information (max 100 words, if relevant):
JUSTIFICATION STATEMENT
Please state why presenting at the WCRB 2017 is important with respect to your studies/career (250 word limit)
CONFERENCE ATTENDANCE
Please state details of the three most recent conferences you have attended. Include: the title of the abstract, type of presentation, and your role in the study.
DECLARATION (APPLICANT)
  • I declare that to the best of my knowledge and belief, I meet the eligibility criteria for this award and that the information I have supplied in this application is correct and complete.
  • I confirm that I have not sought funding to attend the WCRB 2017 for other professional societies

Applicant’s signature: / Date:
CHECKLIST
  • WCRB Abstract
Please attach a copy of your WCRB abstract. In addition, at the end of the abstract, also include a short summary detailing the contribution of each author to the study.
  • Curriculum Vitae
Please attach a copy of your CV (not exceeding two pages in 12 point font). Your CV should include the following subheadings in this order:
Personal details
Employment History
Education and Qualifications
Significant Distinctions/Awards
Research Funding (summary of the last 5 years, as well as total amount over career)
Publications
Refereed papers – selected last five years, as well as career total
Refereed conference publications – selected last five years, as well as career total
Professional Service (e.g. reviewer for journal or funding bodies, committee positions etc.)
Other Activities (any information considered of importance)

Please submit this document, alongwith a copyofyour submittedWRCB abstract and a brief CV (maximum of two pages) as a single PDF (file titled with your surname). Email the application to Dr Mark Green, SRB Secretary () by 5pm Monday27th March 2017.