ESMAC Travel Scholarship Application
Name
*
First Name
Last Name
Email
*
example@example.com
1. I´m the first and presenting author on the abstract that has been accepted for oral or poster presentation at the Annual Meeting. (Applications may be submitted prior to the date of abstract notification (28th May), on the understanding that the outcome will be contingent on the abstract being accepted.)
*
Yes
No
2. ESMAC Member ID, so we may verify you are a valid member of our Society
*
Format: ESMAC-00001
3. Please upload a brief statement (max 250 words) outlining why you wish to receive this scholarship and any difficulties in obtaining professional or educational funds from your home country.
*
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4. Please upload a CV - no more than two pages
*
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5. Provide a copy of your submitted abstract
*
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6. Provide the contact details of a reference person
*
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