Livestream Global Health Award Application

Livestream Free Registration Application

Free registrations are available for scientists from low- and middle-income countries (LMIC) of all career stages. You must originate, and live/work in a LMIC to be eligible. This application is for registration to a virtual event. Do NOT register for the meeting until you receive results of your application. You will receive instructions on how to register within a few days after the deadline to apply has passed. If there are questions regarding the submission of the application form, contact scholarships@keystonesymposia.org.
Name*

First Name (Given)Middle NameLast Name (Sur or Family)
Email*

Confirmation Emailexample@example.edu
Gender*
Country/Region of Origin*
Country/Region Where You Currently Reside / Work*
Focus of Research, Study, or Work
Name of University/Institute/Company*
Please spell out completely
Occupation*
Highest Degree(s) Earned*
What Year Was Last Degree Completed*
4-digit calendar year
Conference Details
Please click here to view a list of conferences. Only conferences with LiveStream component are open for this application. If you click on the conference title it will take you to the meeting page. Once on the meeting page, click the register button and you will see what options are available for the Global Health Awards and the corresponding deadlines. If your preferred conference is not available in the drop down box below that means either the deadline to apply has passed or that this conference does not have LiveStream available. Link will open in a new tab.
Which conference would you like to attend?*
Please select the conference title
Briefly describe your area of research and how your participation in this virtual event will be of benefit to your work, your institute, and your community.*

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By submitting this form, I hereby certify the information contained in this form is correct and accurate.
I hereby certify that information and documentation included in this application is true and correct.

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Livestream Free Registration Application

Focus of Research, Study, or Work

Conference Details

By submitting this form, I hereby certify the information contained in this form is correct and accurate.