Scholarship Application for Professional Travel and/or Conference Registration

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The de Tornyay Center for Healthy Aging is proud to support undergraduate and graduate students who are presenting research with a focus on aging at regional, national and international conferences.

1. Purpose: To fund undergraduate and graduate students who are presenting research at local, state, national, and international conferences.

2. Eligibility: UW School of Nursing undergraduate and graduate students in good standing, students already committed to attending a conference, and students with an accepted abstract.

3. Amount of Scholarship: Not to exceed $800. Scholarships will be awarded on a competitive basis. We are aware that the scholarship may not fully fund student travel.

4. Priority consideration will be given to first-time applicants with an accepted research presentation.

5. Decision of award notification: Decision will be communicated by email.

6. Responsibilities of scholarship awardees: Attend conference and give research presentation, submit original or PDF of receipts to the de Tornyay Center for Healthy Aging within 2 weeks of the conference, and agree to present conference learnings at a SoN open forum.

Name (First, Last)

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UW Email

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Are you a School of Nursing student?

Yes

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In which program are you enrolled?

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Conference Title

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Sponsoring organization

Conference Dates(s) and Location

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Link to conference website and/or brochure

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How is this conference related to aging or care of older adults?

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How is this conference related specifically to your aging research, project, or future plans?

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Are you planning to submit or have you submitted an abstract for presentation or a poster at this conference? If so, briefly describe its focus (or attach a copy of the abstract) and its status (e.g. to be submitted, submitted and awaiting review, accepted).

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Abstract

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What specific aging related activities or topics at this conference are you interested in (e.g. presentations, meetings, roundtables, networking opportunities, other responsibilities)?

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Include a budget for your travel and conference expenses below (e.g. registration, airfare, ground transportation, hotel, meals). Indicate which expenses, if any, are covered by other sources and/or are shared with someone else.

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List the faculty member(s) mentoring/collaborating with you on this project, if applicable.

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Is there anything else we should take into consideration when reviewing your request for conference funding?

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Please indicate, by checking the appropriate boxes, which of the following are true (mark all that apply):

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A copy of my submitted abstract is attached

Conference/travel support is requested only if my abstract is accepted

I am willing/able to cover some limited expenses, up to $_________, if necessary

I require some or all of these funds before the conference/travel dates (additional paperwork needs to be completed before funds can be released)

I will save all other receipts and submit a travel reimbursement within 14 days of my return, even if I have obtained the funds before the conference/travel dates (required)

I am willing to present or share what I have learned at this conference during a future de Tornyay Center for Healthy Aging event or in a written report (required)

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