ASCEPT INTERNATIONAL TRAVEL AWARD APPLICATION FORM by c9t0f87l

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									INTERNATIONAL TRAVEL AWARD
APPLICATION FORM




Name / Title

Position

Institution

Address

Phone

Email



Eligibility Criteria

    1. To be eligible for a travel grant you must have been a financial member of APSAVD for at least 12 months
       – or be nominated by a long-standing member of APSAVD and subscribe to a three year membership at
       the time of application
    2. No more than 10 years postdoctoral
    3. No more than 6 years post fellowship of an appropriate college for medical graduates
    4. PhD Student - must be presenting at the relevant meeting, and have previously presented at student’s
       national society meeting

Please provide details of the conference, course, workshop or work experience you wish to take part in:


Purpose of application including how the activity will benefit the applicant:


Other Funding bodies approached:

Funding sought:
    Airfare
    Accommodation
    Registration
    Other (please provide details)
    Total

Attachments required:
     Draft itinerary of proposed travel
     Airfare/accommodation quote
     Abstract submitted and proof of acceptance when available
     Brief curriculum vitae

Payment and Acceptance Criteria:
APSAVD Secretariat – Meetings First

E    apsavd@meetingsfirst.com.au
P    +61 3 5967 4479
F    +61 3 9015 6409
A     PO Box 448, Yarra Junction, Victoria, 3797
INTERNATIONAL TRAVEL AWARD
APPLICATION FORM



    1. Funds will only be paid after confirmation that the applicant is a financial member of APSAVD as detailed
       above
    2. Recipients must provide an article for the APSAVD e-news on completion of their funded activity
    3. Recipients are expected to attend the APSAVD Congress scheduled after completion of their funded
       activity, to fully participate and ideally to submit an abstract for presentation. Funding to attend this
       Congress will only be available if the applicant applies for and is selected as a Young Investigator Finalist.




APSAVD Secretariat – Meetings First

E   apsavd@meetingsfirst.com.au
P   +61 3 5967 4479
F   +61 3 9015 6409
A    PO Box 448, Yarra Junction, Victoria, 3797

								
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