Clone of Clone of Application Form - EuPFI Young Scientist Award

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Read and follow the instructions carefully prior to submitting your application (click here for instructions). All winners will be notified on or before the 15th July 2020
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Read and Understand the instructions.* This field is required.
Yes, I have
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If selected, you will be asked for documentation to support the data you provide. Likewise, all correspondence and award agreements will be generated from the personal information submitted below. So, please use proper spelling, capitalization and punctuation.
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Full Name* This field is required.
First Name
Last Name
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Birthdate:* This field is required.20
Month
Day
Year
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Mobile No. :
Area Code
Phone Number
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E-mail :* This field is required.Please indicate correct E-mail as your confirmation for scholarship eligibility will be sent to this address.
Where the confirmation will be send to
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Home Address :* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
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The Bahamas
Bahrain
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Belize
Benin
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Bolivia
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Botswana
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Brunei
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Burkina Faso
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Canada
Cape Verde
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Chile
China
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Cook Islands
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Cuba
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Denmark
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Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
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Guadeloupe
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Mali
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Mauritius
Mayotte
Mexico
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Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
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Nagorno-Karabakh
Namibia
Nauru
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Netherlands
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Nigeria
Niue
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Peru
Philippines
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Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
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Senegal
Serbia
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Singapore
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Solomon Islands
Somalia
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South Ossetia
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Sudan
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eSwatini
Sweden
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Tanzania
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Vanuatu
Vatican City
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Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
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Other
Country
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Optional Informations :

Information regarding gender, ethnic origin and race are optional. The information is requested for post-award report generation only and in no way affects your selection for awards. However, providing this information may increase your opportunities for award as priority consideration will be given to students meeting certain demographic criteria (such as minority status, area of study, etc.). EuPFI is eager to support programs that benefit underrepresented groups in sciences, and your responses are helpful to these efforts. Individual responses are held in strictest confidence and have no bearing on consideration.
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Gender:* This field is required.
Male
Female
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Ethinicity Origin (or Race) (Choose one or more):* This field is required.White - A person having origins in any of the original peoples of Europe, the Middle East, or North Africa. Asian - A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam. Black or African American - A person having origins in any of the black racial groups of Africa. Native Hawaiian or Other Pacific Islander - A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands. Hispanic or Latino - refers to a person of Cuban, Mexican, Puerto Rican, South or Central American or other Spanish culture or origin regardless of race. OTHER (please specify)
White
Black or African American
Asian
American Indian or Alaskan Native Hawaiian or Other Pacific Islander
Hispanic or Latino
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Date of graduation
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Current Status
Academic (Post Doc/Professor/Teacher/Instructor/other)
Non-Academic (Industry/Government/Non-Profit/other)
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Name of Institution
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Title of current position
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Years at current position
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2
3
4
5
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Applicants must be currently:

Under the age of 35 years of age at the time of application.

A full time student, post-doc OR within the first five (5) years of a professional career

Submitted a data-driven abstract that meets EuPFI’ requirements

First author of an abstract accepted for selected for presentation at EuPFI 2020.

Accepting the award obligates you to attend and present the poster or oral presentation at the EuPFI 2020 conference.
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There are many scholarships/awards designed to offer aid to students/ early career researchers that represent unique characteristics. Please check each of the qualifiers below that apply to you. This data may increase your likelihood of qualifying for award. Please note, if you are awarded based on any of these qualifiers, you will be asked to produce documentation verifying your unique eligibility.
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Have you ever received a travel award/any additional sources of funding?
Yes
No
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If yes, list any other additional sources of funding (with amounts) which you have applied for or anticipate receiving to cover your travel expenses. Other sources of funding include, but are not limited to: other travel grants, corporate funding, department funding, advisor funding, person, other (300 words or less) * This field is required.
0/300
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List oral and poster scientific presentations given within the past five (5) years. Please indicate invited talks (300 words or less)* This field is required.
0/300
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List key publications within the past five (5) years (300 words or less) * This field is required.
0/300
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List professional meetings you have attended within the past two (2) years (300 words or less)* This field is required.
0/300
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List your academic achievements, awards, recognitions etc. (received in the past five (5) years) (300 words or less)* This field is required.
0/300
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Title of the paper to be presented. *(50 words or less)** This field is required.
0/50
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Provide a short biography for publication on the EuPFI website (100 words or less). * This field is required.
0/100
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Please upload resume/CV (.PDF or .DOC only). * This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
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Does EuPFI have permission to post your name, bio and/or picture on the EuPFI website? * This field is required.
Yes
No
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Describe why you should receive this travel award and why is it important to you. Include both scientific and financial reasons, if applicable (500words or less) *:

Include any academic and non-academic accomplishments, personal characteristics, or experiences that make you uniquely worthy of award consideration.
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Personal Statement:
0/500
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By signing (typing your legal name) in the space below, you are certifying that all information is correct and that you are the person completing this application. When you press the submit button, you will receive an email confirmation that your application was received. Please print for your records and retain as verification of your application.
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E-Signature:* This field is required.
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