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