SERSC Travel Scholarship Application 2010

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Society for Epidemiologic Research—Student Caucus Travel Scholarships
The Society for Epidemiology Research Student Caucus (SER-SC) is pleased to offer
scholarships to facilitate travel to the 2010 SER Annual Meeting in Seattle, June 23-26,
2010. In order to apply for the scholarship, you must (1) have submitted, as the first
author, an abstract for oral or poster presentation at the SER annual meeting and (2) be
a member of the SER-SC; membership to SER-SC is open to SER members who are
students, residents, fellows, post-docs, and recent graduates (within 1 year of
graduation). If you are not a student member of SER and would like to learn more about
SER-SC and becoming a member, please visit www.epiresearch.org.
We will award eight travel scholarships this year. Scholarship recipients will receive (1)
up to $400 to pay for expenses for attending the SER Annual Meeting, (2) free
registration to a SER-SC pre-meeting workshop, and (3) free student membership to
SER for the 2010 year. Travel expenses and student membership fees will be
reimbursed after the annual SER meeting upon submission of travel receipts.
Scholarship applications will be evaluated by members of the SER Executive Committee
based on abstract quality and demonstrated need for travel funding. The application
consists of three sections, including (1) the applicant’s contact information, (2) short
essay questions, and (3) a signature form. The completed application must be emailed
to ser.sc1@gmail.com no later than 12:00am EST on March 15, 2010. Scholarship
recipients will be notified by May 1, 2009. Please contact the student caucus at
ser.sc1@gmail.com if you have any questions regarding the application process.
SER-SC Travel Scholarship Application
Contact information
Please complete the following application and email to ser.sc1@gmail.com no later than
12:00am EST on March 15, 2010.
Name ________________________________________________________________
First
Middle Initial
Last
Address________________________________________________________________
________________________________________________________________
________________________________________________________________
City
State/Province
Zip/Postal Code
Country _______________________________________________________________
Preferred telephone # ____________________________________________________
E-mail address__________________________________________________________
School/Institution ________________________________________________________
Degree Program (enrolled or completed)______________________________________
Graduation Date (anticipated or actual) ______________________________________
SER Membership Number_________________________________________________
Abstract Number_________________________________________________________
SER-SC Travel Scholarship Application
Short Essay Questions
1. Please briefly describe the financial resources available to help you attend the 2010
SER Annual Meeting. (200 words maximum, use additional pages as necessary)
2. Please explain why you are interested in attending the meeting and what you hope to
gain from the experience. (200 words maximum, use additional pages as necessary)
3. Briefly describe your research interests. (100 words maximum, use additional pages
as necessary)
4. Copy your submitted abstract below:
SER-SC Travel Scholarship Application
Statement of Support from Advisor, Program Director, or Employer
Please have your advisor, program director, or employer fill out the following form.
Name ________________________________________________________________
First
Middle Initial
Last
Address________________________________________________________________
________________________________________________________________
________________________________________________________________
City
State/Province
Zip/Postal Code
Country _______________________________________________________________
Preferred telephone # ____________________________________________________
E-mail address__________________________________________________________
School/Institution ________________________________________________________
I, _________________________support the application of _______________________
Name of advisor/director/employer
Applicant’s name
for the 2010 SER Student Travel Scholarship.
_____________________________
Signature of advisor/director/employer
_____________________________
Date
_____________________________
Applicant Signature
_____________________________
Date
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