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Professional Development Seminar Travel Grant Application

The ASN thanks the Women In Nephrology (WIN) for assistance with this program and travel grant support.

Participants in the Professional Development Seminar: Early and Mid-Career Components may be eligible for travel grants. These grants are intended to defray some of the costs of attending these programs. The Professional Development Seminar: Early and Mid-Career Components is a one-day program held Wednesday, November 5.

Eligibility

To receive a travel grant, a recipient 1) must register for the applicable program, 2) attend only the program for which he/she received the grant, and 3) not register for an additional one- or two-day program.

While ASN membership is not a requirement to receive a Professional Development Seminar travel grant, it is highly encouraged. Fellows or postdoctoral students residing in North or Central America are eligible for Fellow membership free of charge.

Registration for the PDS is separate from the travel grant application process. You must complete the PDS registration form and pay the registration fee by the Early Registration Deadline of September 15, 2008.

Additional Materials Required

You must submit your CV at the time you submit your application. Applications received without CVs will not be processed.

Deadline: Friday, July 11, 2008, at 4:00 p.m. EDT. Only applications submitted online will be accepted.

Contact Information

First Name:
Middle Name/Initial:
Last Name:
Academic Appointment:
Institution:
Address Type:
Home
Work
Street Address:
City:
State:
Zip Code:
Country:
Phone Number:
Fax number:
Email Address:
ASN ID:
Are you a physician?
Yes  No


Degrees:
MD  MD, PhD  DO
PhD  MBBS  MBChB
Other 


Please indicate your career track:
Early Career  Mid-Career


Please provide a brief description of why you are specifically interested in this program and how the program will help your career:
Make Travel Grant Payable To: (Print your name OR institution exactly as it should appear on the check.)


CV Submission

You must submit your CV at the time you submit your application. Applications received without CVs will not be processed. Use the 'Browse' button below to attach your CV to this form. Acceptable file types are MS Word 2007/2003 (doc, docx), Adobe Acrobat (pdf), Rich Text Format (rtf) and Text (txt). File size is limited to 1 MB.



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American Society of Nephrology
1725 I Street, NW
Suite 510
Washington, DC 20006

tel: 202-659-0599
fax: 202-659-0709
email@asn-online.org
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