Scholarship Global Congress Application Form
PRIORITY DEADLINE for scholarship applications is June 1, 2018
Name
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
PARTICIPATION. Please list and presentations or sessions you have applied or been invited for.
ORGANIZATIONS: Please list any IP & Public Interest research or advocacy projects you are apart of.
SPONSORSHIP: Please explain any sponsorship your institution is offering to assist your participation and/or that of others.
Full travel scholarships are generally not provided. Please limit your request to only those things your organization cannot provide; applications will be preferred for which some matching or institutional funding is available to the applicant. I REQUEST SUPPORT IN THE FORM OF:
Air
Hotel
Registration Fee
Other
Enviar
Should be Empty: