• MSRO Conference Travel Funding Application

  • Medical students can apply to receive up to $1,500 for research-related conference travel per academic year (July 1 – June 30). Students can submit up to two requests per year (for a combined maximum of no more than $1,500).

     

    Eligibility

    • Medical students are eligible for conference funding if they are presenting their research, either as first author or co-author
    • The research that is being presented must have been performed during the student’s medical school years
    • Only conferences within the US are eligible for funding. Conferences in Canada will be considered on a case-by-case basis.

     

    This application must be submitted at least 2 weeks before the conference start date. Late submissions will not be accepted. 

    For more information and details, please reference the MSRO Conference Travel Funding Guidelines.

  • Student Information

  • Format: (000) 000-0000.
  • Program*
  • Class Year*

  • Conference Details

  • Conference Start Date*
     - -
  • Conference End Date*
     - -
  • How will you be attending the conference?*
  • Estimated Travel Departure Date*
     - -
  • Estimated Travel Return Date*
     - -

  • Conference Presentation Details

  • Type of presentation*
  • Are you an author on the project you are presenting?*
  • Did you perform this research while you were a medical student at ISMMS?*

  • Please ask your research mentor to complete this Research Mentor Support Form. Through this form, your mentor will confirm your role in the research project you will be presenting, and endorse you presenting this research at the proposed conference.

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  • Expenses & Funding Request

  • Will you be traveling by airplane?*

  • Additional Funding Support

  • Are you receiving funding for this conference from any other sources (e.g. mentor department, conference scholarship, etc.)? Please check all that apply.*

  • Total Amount of Funding Requested from MSRO

  • Based on your responses in this form, the amount of funding needed to cover your estimated expenses is:

    ${totalAmount}

    This is calculated as "Total Estimated Expenses - Total Additional Funding Support"

    Please indicate below the amount of funding you are requesting from the MSRO. 

  • Are you applying for Advanced Funding?*

  • Advanced Funding

  • Requests for advanced funding have to be submitted at least 5 weeks before the conference start date.

    The following expenses are eligible for advanced funding:

    • Conference registration fee
    • Flight
    • Hotel

    To be eligible for advanced funding, you are required to upload receipts of expenses that you have already incurred. 

    Please note that the maximum amount of advanced funding you can request is $100 less than the total amount of funding you are requesting for this conference travel. For example, if you are requesting a total of $1,000 in travel funding, you can request a maximum of $900 in advanced funding. You will receive the remaining reimbursment after the conference.

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  • Approved Absence

  • Will you be missing mandatory curriculum days due to this conference?*
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  • Additional Information

  • By submitting this form, I attests that all the information provided is correct to the best of my knowledge. 

    I understand that to be reimbursed for approved expenses, I will need to submit receipt, credit card statements and boarding passes after the conference.

  • Should be Empty: