APPLICATION FOR POSTER/PLATFORM (ORAL) PRESENTERS ONLY. You may not apply for a FASEB MARC travel award if you are receiving funding from SDB. Travel Award is not transferable without proper documentation and authorization. TRAVELAWARDAMOUNT
IS UP TO $2,000.
DEADLINE INFORMATION: All applications for the SDB 2011 West Coast Regional Meeting Minority Travel Award must be received no later than MARCH 4, 2011, 5:00PM Eastern Time. Late and/or incomplete applications will not be processed.
POSTER/PLATFORM (ORAL) PRESENTATION TRAVEL AWARD APPLICANT (must be FIRST AUTHOR and presenting at the meeting.)
Applicant Eligibility Category:
Name: ENTER FIRST AND LAST NAME
Gender: Degree/Title:
Institution: ENTER INSTITUTION'S NAME Department: ENTER DEPARTMENT
Address: ENTER ADDRESS
City: ENTER CITY State: ENTER STATE CODE ZIP: ENTER ZIPCODE
EMail: ENTER E-MAIL ADDRESSTEL: ENTER CONTACT PHONE# FAX: ENTER FAX#
Home Address: ENTER ADDRESS
City: ENTER CITY State: ENTER STATE CODE ZIP: ENTER ZIPCODE
- Are you a member of an ethnic minority group identified as being underrepresented in the biological and behavioral sciences?
- Please indicate Race/Ethnicity (required):
- ** If “American Indian/Native American,” please specify tribe and provide a copy of tribal affiliation
certificate. TRIBE: SPECIFY TRIBE
** If “Other,” please specify -SPECIFY OTHER
- Citizenship/Residency Status:
** If “Permanent Resident of USA,” provide a copy of your “Green Card” with this application.
- Are you funded by an NIGMS/NIH-sponsored MARC Program at your university?
- Students Only: Final Degree Desired: If “Other” selected, enter other degree:
- Students Only: Are you planning to pursue a career in biomedical research?
- Are you an SDB Member?
You must be an SDB member to apply. Visit the Web site at for a membership
application.
______
IMPORTANT INFORMATION: These travel awards s are supported through the Minority Access to Research Careers (MARC) Program, federally funded by the National Institute of General Medical Sciences/National Institutes of Health. Qualified minority groups that are underrepresented in the biomedical and behavioral sciences include: African Americans, Alaskan Natives, Hispanic Americans, Latinos, Native Americans, and Natives of the U.S.A. Pacific Islands.
Qualified minority groups must be citizens or non-citizennationals of the United States of America or must have been lawfully admitted to the United States of America for permanent residence and have in possession a permanent visa at the time of application. Applicants must possess a current/valid green card. Applicants must also reside within the U.S.A. or U.S.A. territories.
Underrepresented minority graduate students and postdoctoral fellows meeting the citizenship /residency requirements at accredited majority institutions are eligible to apply for the travel award. Full-time graduate students and postdoctoral fellows at accredited minority institutions are also eligible to apply for this award.
*Individuals on temporary or student visas are not eligible for MARC funding.
*Federal employees are not eligible for MARC funding. We are prohibited from providing federal funds to federal employees and trainees at federal facilities who receive federal support for their salary/wages.
The FASEB MARC Program is supported by a grant from the National Institute of General Medical Sciences, National Institutes of Health. (T-36 GM-08059-28.)
SDB MEMBER APPLICANTS WHO WISH TO BE CONSIDERED FOR TRAVEL AWARD FUNDING MUST:
1)Be a USA Citizen or a Permanent Resident of the USA. (Copy of Permanent Resident “green card’ will be required.)
2)Advance register for the meeting. Follow abstract submission guidelines. After you have been notified of acceptance of your abstract by the meeting officials, complete and submit this application form including a copy of your notification of acceptance letter of your research abstract, plus a copy of your accepted abstract.
3)Submit a CV/Resume (including any federal funding support you receive).
4)Submit a one-page statement demonstrating financial need and identifying potential benefits to be gained and the anticipated effect this may have on your planned research career.
5)Submit a letter of recommendation on departmental letterhead signed by the department head/chair or dean. Be sure to include the email address and daytime phone number of your mentor, chair or dean.
6)Submit any required documentation (copy of green card, tribal affiliation certificate, etc.) if applicable.
The FASEB MARC Program review committee working in partnership with SDB leadership/staff will select the award recipients based on the applicants’ written statements of financial need, benefits to be gained by participating in the course, submitted abstract and all supporting documentation from applicants who are eligible for MARC funding as specified by the National Institute of General Medical Sciences, National Institutes of Health (NIGMS/NIH.) Members of SDB will be given preference.
Applicants selected to receive a travel award will be notified by the FASEB MARC Program upon approval of their application.
SUBMIT APPLICATION TO: FASEB MARC Program-Career Resources, 9650 Rockville Pike, Bethesda, Maryland 20814-3998; Tel: 301-634-7109; FAX: 301-634-7353; eMAIL: ; Internet:
The FASEB MARC Program is funded by a grant from the National Institute of General Medical Sciences, National Institutes of Health. (T36 GM-08059-28.)
TRAVEL AWARD APPLICATION CHECKLIST
Completed Travel Award Application FormCopy of Notification of Abstract Acceptance for Meeting Program
Copy of Accepted/Programmed Abstract
One-page Statement demonstrating Financial Need and identifying benefits to be gained
Letter of recommendation and support from Mentor, Chair or Dean
Copy of CV/Resume
* If Permanent Resident, copy of ‘Green Card’
* If American Indian/Native American, copy of Tribal Affiliation Certificate
PLEASE BE ADVISED, INCOMPLETE
APPLICATION PACKETS WILL NOT BE PROCESSED.
For information about the Society for Developmental Biology
West Coast Regional Meeting