Student Travel Grant Application for IMBioC2025

Student Travel Grant Application

for IMBioC2025

Student Section

Student Last Name (as it appears on passport)*

Student First Name (as it appears on passport)*

Student Email Address*

IEEE Membership Number

IEEE Region*

Gender*

Male

Female

Date of Birth*

Are you a member of the IEEE MTT-S?*

Yes

No

What is your current degree program?*

When did you start your current degree program?*

Have you attended IMBioC?*

Yes

No

Have you attended any IEEE conference or events?*

Yes

No

Have you applied for other IEEE MTT-S related Fellowship/Travel Grant?*

Yes

No

If yes, please provide more details

I acknowledge that I am expected to submit a statement detailing my IMBioC2025 experience*

Area(s) of Research*

Application Upload*

A single PDF containing a student statement letter, a recent Curriculum Vitae, a letter of recommendation from your advisor, and an estimate of travel costs

Drag and drop files here or

I acknowledge the information above is correct to the best of my knowledge.*

Principal Supervisor Section

Principal Supervisor Lastname*

Principal Supervisor Firstname*

University*

Full Address*

Supervisor Email Address*

Send me a copy of my responses

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