International Society for Animal Clinical Pathology
Travel Award Application
Applicant:
Name:
Affiliation/Institution:
Address:
City:
State/Province:
Phone:
Zip/Postal Code:
Fax:
E-mail:
ISACP Membership:
I am a current ISACP Member:
Yes
My faculty mentor is a current ISACP Member:
No, I will join at registration
Yes Name:
Eligibility (check appropriate status):
I am a resident or graduate student (must be accompanied by a letter from faculty advisor)
I am a junior faculty member (completed training within past year and/or <40 years old)
I have submitted an abstract for oral or poster presentation (required)
Estimated roundtrip airfare to Oregon, USA to attend the ISACP Congress: US$
Estimated cost of accommodation in Corvallis, Oregon, USA: $
/night X
nights
Additional letters:
Please include the following with your application:
1.
All applicants must include a brief letter stating their career goals (including board-certifying
college, if pertinent) the benefits of attending the Congress, and financial need (1-page max).
2.
Trainees must also submit a brief letter from their faculty advisor verifying their status as a
resident or graduate student and providing support for their application (1-page maximum).
Submit your application materials NO LATER THAN MAY 3, 2010:
Please E-MAIL this completed form and your letter(s) to: Dr. Josep Pastor, University of Barcelona,
[email protected] by May 3, 2010.