2014 ISAC Scholars Program Application Form The ISAC Scholars program is designed to enhance the scientific and leadership experiences of emerging leaders in the field of cytometry. The ISAC Scholars program is designed as a career development program for those under the age of 40 on the date of the application. The program provides opportunities for leadership training, an opportunity to apply for a mentor training opportunity with another Society member, presentation opportunities, financial support for membership in ISAC (Society), as well as other valuable mentoring activities. In addition, ISAC Scholars are given the opportunity to be an integral part of the Society through committee memberships, advisory boards, the opportunity to review manuscripts submitted to Cytometry, Part A (the official journal of ISAC) and creating educational material to further support the goals of ISAC. Being chosen ISAC Scholar is an indication that you are recognized for your leadership potential, scientific skills and ability to achieve your career goals. This five-year program provides Scholars with a complimentary membership in the Society, subscription to Cytometry Part A, and complimentary registration and partial travel funds to attend the annual society CYTO conference. ISAC is seeking Scholars specializing in state of the art biomedicine, technology, and other areas of emerging sciences. All Scholar applications are reviewed by the ISAC Scholars Program Committee of Society leaders. Awards of ISAC Scholar are highly competitive and typically awarded to the top 10-20% of applicants. Five documents must be submitted: This completed application form. A full copy of your CV listing all publications, presentations, abstracts, honors and awards. Two letters of reference: one from your supervisor or director and one from an ISAC member who is not your supervisor or director. In addition, the letter from your supervisor or director must indicate your current status and the number of years you have been in that status (e.g. graduate student, postdoctoral fellow, junior faculty, corporate position). A 2-4-page exposition describing your goals as a scientist and how ISAC could assist in these goals. Submission Instructions: To be named a 2014-2018 ISAC Scholar, you must make sure all of your application and supporting materials are received by Wednesday, January 15, 2014. Late applications will not be considered. Applicants should email their application and supporting documents to Michelle Butler, ISAC Executive Director at mbutler@isac-net.org. Or you can mail your application and supporting documents to ISAC Scholars Program, 9650 Rockville Pike, Bethesda, MD 20814. ISAC Scholars Program Application Form Background Information: First name: Last Name: Position: Age and Date of Birth: Organization: Address: City: State: Phone: Email: Are you an ISAC member: No Country: Yes If yes, how many years: Have you attended any ISAC CYTO Conferences: No Yes If yes, which years: Identify membership in other Scientific Societies, including cytometry and ISAC Affiliated Societies: Tell us about your area of scientific interest Scientific Background (Check all that apply): Biomedicine Technology Chemistry Microbiology Environment Biotechnology Engineering Bioinformatics Other (Please List): Areas of interest: Skills: If selected, ISAC Scholars agree to the following conditions: Acknowledge their award as an ISAC scholar in all publications for a minimum of 5 years at the end of the award Attend the CYTO conferences if possible and assist CYTO Organizers in various participatory roles. If there is a compelling reason to not attend CYTO, attend a regional or an ISAC Affiliated Cytometry Society meeting. Remain a member of ISAC for 3 years after scholarship is concluded Publish at least one paper as a first or last author in Cytometry, Part A per three years Accept at least one invitation to participate on an ISAC Committee Complete annual report outlining your research, funding awards, papers, posters, meetings attended, etc. Scholars will be reviewed on an annual basis to ensure that they are meeting the goals and expectations associated with this appointment in order to continue to receive Scholar support. ISAC will: Provide you with a complimentary membership in the Society for 5 years Provide you with a complimentary registration and partial travel grant for CYTO conferences. Acknowledge Scholars formally at the CYTO conference and provide opportunities for participation Integrate Scholars with the emerging leaders (and work to provide participatory opportunities). Work to provide mentorship and collaborative opportunities. Signature: Date: