Travel Grant Form

Travel Grant Application Form
This form is to be completed and submitted by the researcher as the applicant. All starred fields are mandatory. If you have any questions please email kimwark@rcdfoundation.org.
Applicant Details
Title (Mr, Miss, Mrs, Ms, Dr, Professor, Associate Professor)
Name

First NameLast Name
Current Employer/Enrolled Institution
Must be an Australian institution
Department/Division
Research Lab/Group
Email
example@example.com
Phone Number (mobile preferred)
What stage of your research career are you at?
What title best describes your job role
If you are a PhD student please state what year of your studies you are currently in
Have you previously been awarded an RCD Travel Grant ?
If 'Yes' please state the event, month and year
How long have you been in pediatric brain cancer research?
Current Research Activity

Please describe your research focus in no more than 150 characters to demonstrate its relevance to the event. 0/150
Please upload a current copy of your CV here

Cancelof
Supporting Organisation Details

Note: if some details are the same as above, enter 'as above'. This is the organisation that the applicant is employed/studying at and will administer the grant if successful.
Name of Organisation
Department/Division
Research Lab/Groups
Name of Supporter, Including Title
The Supporter is either your direct line manager, lab leader or senior executive in the supporting organisation
Supporter Relationship to Applicant
Please upload the organisation's signed letter of support. You may use your own or a template can be found below

Cancelof
LETTER OF SUPPORT TEMPLATE
Please upload any additional support information you may wish to provide here.

Note: this is not compulsory
Cancelof
Event Details

Event can be relevant research conferences, symposiums, congresses, industry forums or related meetings involving paediatric brain cancer.
Event Name
Location
Event Start Date

MonthDayYear
Date
Event End Date

MonthDayYear
Date
Amount Requested
E.g. $2000, $5000. Please note there is no minimum amount but maximums are AU$2000 for domestic travel and AU$5000 international travel.
Specify Your Contribution to the event
If you have submitted an abstract for a verbal and or poster presentation please upload it here

Cancelof
Nominate the benefits and outcomes you anticipate from attending the conference

Other
Are you currently working on a RCD Foundation funded project?
Have you applied elsewhere for funding for this event ? Answer yes, if your host institution is also providing some travel funds
If 'Yes', please state the other funding organisation/s to which you have applied and the amount/s requested
If you are successful in obtaining the travel grant, do you consent to photos of you and or your work being used for promotional purposes on the RCD website, and or in reports, poster or other material? Note that your response does not in any way effect the assessment of your application
Thank you for completing this application form. After submission you will receive an acknowledgement within 2 working days and advice of whether you have been successful within 14 days of the closing date.
Should be Empty:

Travel Grant Application Form

Applicant Details

Supporting Organisation Details

Event Details