Graduate Student Application for the Moss2015 Fellowship
(Registration and Hosting-All Inclusive from Nov-30 to Dec-03)
Name:
Male or Female:
Your Graduate Advisor & School:
Your Graduate Program Entry Year:
Your Anticipated Graduation Year:
What is your reason for attending the meeting?
a. General attendance
b. Presentation: poster
c. Presentation: oral talk
Have you attended scientific meetings as an undergraduate?
If no, why did you not attend a meeting?
If yes, how many meetings did you attend?
If yes, did you present a poster or give a research talk at these meetings?
If yes, how many posters and how many talks have you given?
Have you attended scientific meetings as a graduate student?
If no, why have you not attend a meeting?
If yes, how many have you attended?
If yes, did you present a poster or give a research talk at these meetings?
If yes, how many posters and how many talks have you given?
In regards to accommodations:
Do you mind to share a room with another winner of the fellowship?
Do you prefer stay in a single room?
Please detail your preferences:
Are you a smoker?
In 300 words or less, what do you professionally expect to gain from attending the Moss 2015?
Please sign the below statement (electronically to moss2015.cancun@gmail.com ):
I understand that if I accept a grant to attend the Moss 2015 Congress I will be required to find my own
travel funds but I will receive my conference registration, housing, and breakfast, lunches and dinners as
part of the grant (except for the closing dinner of congress). To fulfill the requirements of the grant I
must attend all sessions of the Moss 2015.
Applicant Signature: _________________________________________________________