DAMOP Travel Grant Application Form

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DAMOP provides a limited number of grants to support student attendance at the annual meeting. Applicants must fill out this form and press "send form." Awarding is frequently limited by available funds; DAMOP policy is to support one eligible student per faculty advisor. If several students with the same advisor are applying, the relative priority of each student must be indicated in this form. Priority is given to students who have not received support for the last three DAMOP meetings, and who have submitted abstracts in the upcoming meeting. Ambiguity or errors cause delays; please fill out this form carefully.

Email *

Last Name of Applicant *

(Surname or Family Name)

First Name of Applicant *

(Given Name)

Middle Name

(Second Name, or Maiden Name )

Suffix of Name

Sr.

Jr.

Other:

Clear selection

Priority of your application in your group *

Consult your advisor and discuss with other applicants in your group. Read the Grant Policy in the heading of this form. Maximum of 4 students per group.

highest

lowest

Name of Institution/s (separated by semi-colon if more than one) *

(e.g., MyState University; Oversea Unversity)

Last Name of Advisor *

First Name of Advisor *

Middle Name of Advisor

(or give full name of 2nd advisor using this format: Ben Kenobi [2nd advisor] )

Degree being pursued by applicant *

Ph.D.

M.Sc.

undergraduate

Other:

Email Address of Applicant *

(Please make sure that it is operational.)

Type of Presentation *

requested in submitted abstract

Talk

Poster

no abstract

First day at the DAMOP meeting *

(arrival date)

Last day at the DAMOP meeting *

(departure date)

List the years of previous DAMOP Meetings you attended (enter "None" if you have never been to DAMOP).

Add a brief statement on how you will support diversity of underrepresented groups in physics at DAMOP.

Mailing address line #1 *

(in case award check is not delivered at the DAMOP meeting)

Mailing address line #2

City *

(e.g., London or Gaithersburg)

State/Zip code *

(e.g., EC1Y 8SY or MD 20899)

Country *

(e.g., United Kingdom or USA)

A copy of your responses will be emailed to the address you provided.

Submit

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