SOT Travel Award Application - 2016

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SOT Travel Award Application - 2016
Regulatory and Safety Evaluation Specialty Section
(RSESS)
Name: ______________________________
Student Status: (undergraduate/graduate/postdoc) ___________________________
Department: __________________________
University: ___________________________
Mailing Address:
______________________________________________
______________________________________________
Telephone: ___________ Fax: ___________
E-mail:_______________________
Title of presentation to be made at the SOT meeting: ___________________________
______________________________________________________________________
______________________________________________________________________
Areas of Research: Select one from below or specify:
___Safety or Hazard Assessment ___ Assay Development __ Models
___ Regulatory and/or Scientific Policy ___ Method Validation
___Other area involving regulations or safety evaluation:
_______________________________________________________________
Synopsis and significance of your research to regulatory toxicology or safety evaluation
of chemicals, drugs, foods, medical devices, etc.
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Along with your abstract of the work you will present at the 2016 SOT Annual Meeting
(pasted into the second page of this application), please attach:
 Letter of Sponsorship from Adviser
Submit this application and letter of sponsorship via email to: Michael L. Dourson
([email protected]):
Application Deadline: December 15, 2015
Regulatory and Safety Evaluation Specialty Section
1
Print or Copy/Paste Abstract Here:
Regulatory and Safety Evaluation Specialty Section
2
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