AAI/IMMUNOLOGY 2015TM Underrepresented Scientist Travel Award
Trainees and Junior Faculty Members
Application deadline: January 12, 2015
This program provides registration and travel support for attendance at the AAI annual meeting to eligible
trainees and/or junior faculty members. This award is funded by a grant to the Federation of American
Societies for Experimental Biology (FASEB) from the National Institute of General Medical Sciences
(NIGMS), National Institutes of Health [FASEB MARC Program: T36-GM08059-31].
ELIGIBILITY
This award provides funding for trainees or junior faculty members from underrepresented groups to attend
the IMMUNOLOGY 2015TM annual meeting. Groups considered to be underrepresented in the biomedical
sciences, as determined by the NIGMS, include: African Americans, Alaskan Natives, Hispanic Americans,
Latinos, Native Americans (specify tribal affiliation), and Natives of the U.S. Pacific Islands (Hawaii, Guam
and American Samoa).
Also, applicants must be:
• AAI Regular or Trainee members paid through the end of 2015
• U.S. citizens or permanent residents (with valid green card) of the United States or its territories
• Giving an oral or poster presentation at IMMUNOLOGY 2015TM
• A Ph.D. student, Ph.D. or M.D./Ph.D. postdoctoral fellow, or Ph.D. or M.D./Ph.D. junior faculty (nontenured assistant professors or equivalent).*
*NOTE: NIGMS guidelines determine that the trainee applicants must have or be pursuing a Ph.D. or Ph.D. combined
degree. Other doctoral degrees do not meet the eligibility requirements. Consideration will be given to applications from
members who are pursuing or who have an M.D. degree only if it is clearly documented that the applicants are engaged in
basic/bench research.
Exceptions:
• Federal employees or fellows/trainees at federal facilities are ineligible to apply.
• Trainees supported by federal grants that include travel to meetings are also ineligible.**
• If MARC awardees receive other AAI travel support for this meeting, the amount of MARC funding will be
reduced commensurately.
**NOTE: Trainees supported by federal grants that include travel to meetings are not eligible for MARC funding.
Applicants who are supported by NIH F-series, NIH K-series, or applicants who have similar support from other federal
agencies (e.g., NSF, etc.) are not eligible to apply. Graduate students and/or postdoctoral fellows who are supported
through NIH T32 training grants, their mentor’s NIH R01 grant or similar grant from other federal agencies may receive
travel funds. All sources of federal funding must be disclosed with the application packet.
AWARD
Supported through a grant to the FASEB Maximizing Access to Research Careers (MARC) Program from
the NIGMS, NIH, this award provides travel support to eligible AAI members to attend the IMMUNOLOGY
2015TM meeting. Two types of awards are available providing support of up to $1,850 for registration and
meeting-related travel expenses.
APPLICATION INSTRUCTIONS
Please submit award application to:
IMMUNOLOGY 2015TM Underrepresented Scientist Travel Award
FASEB MARC Program
ATTN: Kelly Husser
9650 Rockville Pike
Bethesda, MD 20814-3998
Complete application packages may also be submitted via email at: marcssm@faseb.org
Direct all travel award-related questions to Kelly Husser, khusser@faseb.org, 301-634-7109
NOTE: Complete application packages must be received by 5:00 PM EDT. on January 12, 2015.
Incomplete application packages or applications that do not comply with the stated instructions will
not be considered. FASEB MARC Program will not accept materials sent separately.
09/14
USA CITIZENS OR PERMANENT
RESIDENTS OF THE USA ONLY.
AAI TRAINEE OR JUNIOR
FACULTY TRAVEL AWARD
IMMUNOLOGY 2015TM UNDERREPRESENTED SCIENTIST TRAVEL AWARD APPLICATION
The FASEB MARC travel award program is intended to encourage and support participation of scientists from
Underrepresented groups in career-enhancing activities, courses and meetings. Successful applicants will
receive support for meeting-related expenses (i.e., travel, lodging, per diem etc.) up to a maximum of $1,850,
including the registration fee. Reimbursement after meeting attendance will require original receipts and all
requests must meet MARC Reimbursement Guidelines. Questions may be addressed to marcssm@faseb.org.
IMMUNOLOGY 2015TM Underrepresented Scientist Travel Awards must be received no later than JANUARY 12, 2015
at 5:00 PM EDT. Late and/or incomplete applications will not be processed.
Applicant Eligibility Category: Select Applicant Status
(JUNIOR FACULTY: Non-tenured Assistant Professor or equivalent; TRAINEE: PhD Postdoctoral, PhD Student, MD/PhD Postdoctoral, MD/PhD Student ONLY)
Name: Enter First And Last Name
Gender: Select Gender
Degree/Title: Select Degree Title
Institution: Enter Institution's Name
Department: Enter Department
Address: Enter Address
City: Enter City
State: Enter State Code
Email: Enter E-Mail Address
TEL: Enter Contact Phone#
ZIP: Enter ZIP Code
FAX: Enter Fax#
Home Address: Enter Address
City: Enter City
1.
2.
3.
State: Enter State Code
ZIP: Enter ZIP Code
Are you an individual from a background identified as being underrepresented in the biological and
behavioral sciences? (required) Select YES or NO
Is your college/university recognized as a minority institution by the U.S. Department of Education? (required)
Indicate YES or NO
Please indicate Race/Ethnicity (required): Select Race/Ethnicity
** If “Other” race/ethnicity selected, please specify -(required) SPECIFY OTHER
** If “American Indian/Native American” selected, please specify tribe and provide a copy of tribal affiliation certificate.
TRIBE: (required) SPECIFY TRIBE
4.
Citizenship/Residency Status: (required)
Indicate Citizenship/Residency Status
** If “USA Citizen”, provide a photocopy of one of the following: 1) Identification page of your valid USA Passport, 2) Birth
Certificate, 3) Certificate of Naturalization, 4) Certificate of United States Citizenship, or 5) Consular Registration of Birth Abroad
Form with this application.
** If “Permanent Resident of USA”, provide a photocopy of your “Green Card” with this application.
5.
Final Terminal Degree Desired: Indicate Degree If “Other” selected, enter other degree: Enter Other Degree
6.
Are you an AAI Member? Indicate YES or NO If “Yes”, enter AAI membership number: Enter Membership #
7. Are you funded by an NSF, NIH or other federally-funded Program at your university? (required)
Indicate YES or NO
If “YES”, please indicate the type of federal grant: Indicate Federal Grant Type
If “YES” and your funding type is not listed, enter grant info/number: ENTER GRANT INFO/NUMBER
8. What is the total number of days you are planning to attend the meeting? (required) # of Days (exclude travel days)
I hereby certify that I am an AAI member in good standing and a U.S.A. citizen or Permanent Resident of the U.S.A. and reside within
the U.S.A. /U.S.A. territories. I also certify that I am not supported by a federal grant that includes travel support to meetings.
Name: Enter Full Name of Applicant
Date Signed:
The AAI Underrepresented Scientist Travel Awards are funded by a grant to the Federation of American Societies for Experimental
Biology (FASEB) from the National Institute of General Medical Sciences, National Institutes of Health [FASEB MARC Program:
T36-GM008059-31].
USA CITIZEN VERIFIED:  USA Passport  Birth Certificate  Cert. of Naturalization  Cert. of US Citizenship
 Consular Registration of Birth Abroad
PERMANENT RESIDENT VERIFIED:  Permanent Resident “Green” Card
For FASEB MARC Use Only
IMPORTANT INFORMATION: These travel awards are federally funded and supported through the Training, Workforce Development and
Diversity (TWD) Division of the National Institute of General Medical Sciences/National Institutes of Health. Qualified underrepresented
groups that have been identified as being underrepresented in the biomedical and behavioral sciences include, but are not limited to:
African Americans, Alaskan Natives, Hispanic Americans, Latinos, Native Americans, and Natives of the U.S. Pacific Islands.
09/14
Qualified underrepresented groups must be citizens or non-citizen nationals 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. or U.S. territories.
Underrepresented PhD students, postdoctoral fellows and junior faculty meeting the citizenship /residency requirements at accredited majority
institutions are eligible to apply for this travel award. Junior faculty members who are full-time employees at accredited minority institutions
are eligible for this travel award. Full-time PhD students and postdoctoral fellows at accredited minority institutions are also eligible.
PhD STUDENTS, POSTDOCTORATES AND JUNIOR FACULTY MEMBERS WHO WISH TO BE CONSIDERED FOR TRAVEL AWARD
FUNDING MUST:
1)
2)
3)
4)
5)
6)
7)
8)
Be a USA Citizen or a Permanent Resident of the USA. (Copy of Permanent Resident “green card’ will be required.)
Register for the meeting.
Submit a CV/Resume (including any federal funding support you receive.)
Submit a copy of your abstract submission receipt/confirmation
Submit a copy of your extended abstract (See extended abstract sample information available at www.faseb.org/marc/travel)
Submit a one-page statement demonstrating financial need; identifying potential benefits to be gained and the anticipated effect this may
have on your planned research career.
Submit a letter or 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.
Submit any required documentation (proof of citizenship documentation, copy of green card, tribal affiliation certificate/card, etc.)
The FASEB MARC Program review committee working in partnership with AAI leadership/staff will select the award recipients based on the
applicants’ written statements of financial need, benefits to be gained by participating in the meeting, 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 AAI will be given preference.
NOTE: Individuals on temporary or student visas are not eligible for FASEB MARC funding. Federal employees are not eligible for
FASEB 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.
Applicants selected to receive a travel award will be notified by the FASEB MARC Program upon approval of their application.
SUBMIT APPLICATION TO: IMMUNOLOGY 2015TM Underrepresented Scientist Travel Award; FASEB MARC Program; ATTN: Kelly
Husser, 9650 Rockville Pike, Bethesda, Maryland 20814-3998; Tel: 301-634-7109; FAX: 301-634-7353; Email: marcssm@faseb.org
For more information visit http://www.faseb.org/marc/travel.
TRAVEL AWARD APPLICATION CHECKLIST
Completed Travel Award Application Form
Copy of Abstract Submission Receipt/Confirmation
Copy of Extended Abstract
Copy of CV/Resume including all sources of funding you are receiving/have received.
Completed and signed AAI Trainee Certification Form (if applicable).
One-page statement demonstrating financial need, identifying potential benefits, etc.
Letter of recommendation from Mentor, Chair or Dean
(MUST accompany your application packet at time of submission, otherwise your application will be declined
because the packet will be an incomplete submission.)
** If USA Citizen, copy of one of the following: 1) Identification Page of your valid U.S. Passport, 2) Birth Certificate,
3) Certificate of Naturalization, 4) Certificate of United States Citizenship, or 5) Consular Registration of Birth
Abroad Form.
** If Permanent Resident, copy of ‘Green Card’
** If American Indian/Native American, copy of Tribal Affiliation Certificate
PLEASE BE ADVISED:
WE DO NOT ACCEPT PIECEMEAL SUBMISSIONS.
ALL INCOMPLETE OR LATE APPLICATION PACKETS
WILL BE DECLINED UPON RECEIPT.
Application Receipt Deadline: January 12, 2015, 5:00 PM EDT
marcssm@faseb.org
infoaai@aai.org
For information about the
Travel Awards for IMMUNOLOGY 2015TM
For assistance in registering and inquiries
about IMMUNOLOGY 2015TM
The American Association of Immunologists
Trainee Certification Form
All trainees must submit this form with the award application.
Please print legibly or type.
AAI User ID (also AAI Member Number, if a member): ______________________________________
AAI Trainee Member Paid for Current Year
□ Yes
□ No
Trainee Full Name: ____________________________________________________________________
First
Middle
Last
Mailing Address: _______________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Trainee Status (check one):
□ Student (Pre doctoral) - Degree and Year Expected: ___________________
□ Post doctoral - Degree and Year Received: ____________________
Advisor/Department Chair Certification of Applicant’s Trainee Status
I hereby certify that the Trainee named above is a registered student or postdoctoral fellow engaged in a research
training program, clinical fellowship, or residency program.
_____________________________________________________________________________________
Name of Advisor/Department Chair
Advisor Signature: ________________________________________ Date: _________________________
If an AAI member, Advisor AAI User ID / Member Number: __________________________________________
Advisor Institutional E-mail Address: _____________________________________________________________
5/19/2014