BioPACIFIC MIP Fellows and Affiliates Travel Award Application

BioPACIFIC MIP Fellows and Affiliates Travel Award Application

Fellows and Affiliates may apply for travel grants of up to $500.

Awards will be made on a rolling and first-come first-served basis, with priority given to first-time applicants.

Email*

First Name*

Last Name*

Home Campus*

UC Santa Barbara

UC Los Angeles

Start date for the event/visit*

End date for the event/visit*

Is this your first time applying for a BioPACIFIC MIP travel award?*

Yes

What is the purpose of the travel?*

Select or enter value

Please expand on "other"*

Conference/Workshop Title*

Conference/Workshop Location*

How will you participate in the conference/workshop?*

Select or enter value

Presentation/Poster Title*

Please expand on "other"*

How is the conference/presentation/poster connected to your BioPACIFIC MIP research?*

Institute/Company Name*

In what activities will you participate during your visit?*

What is the relevance of this visit to your BioPACIFIC MIP research?*

Describe your involvement with BioPACIFIC MIP research, training, or outreach activities*

Funding amount requested*

List the expenses for this opportunity*

List any other funding you are receiving or seeking for these expenses*

Source/Amount

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