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 Name Last 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 ? *

No Yes
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

Cancel of
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 *

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

Note: this is not compulsory
Cancel of
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

Month Day Year
Date
Event End Date

Month Day Year
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 *

Chairing a session Invited keynote speaker Invited Presentation Verbal presentation (abstract submitted) Verbal presentation (abstract accepted) Poster presentation (abstract submitted) Poster presentation (abstract accepted) Participant
Nominate the benefits and outcomes you anticipate from attending the conference *

Critical for seeing collaborators which I am currently working with to continue the research Will assist in organising data exchange or resources which are important to my project work Presentation of latest scientific findings Peer review of work in this setting Stimulate new research directions and ideas Increased networking opportunities Raise my professional profile and that of my institution To promote institutional capabilities and capacity to the wider research community Increased knowledge in the field to advance my current research and collaborations Networking potential for future job opportunities/and or exchange between labs Other
Are you currently working on a RCD Foundation funded project? *

Yes No
Have you applied elsewhere for funding for this event ? Answer yes, if your host institution is also providing some travel funds *

Yes No
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 *

Yes No
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.
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Travel Grant Application Form

Applicant Details

Supporting Organisation Details

Event Details