2018EASO Award Application Form

The deadline for receipt of completed award application forms is 7 January 2018– late submissions will NOT be considered. All application forms MUST be submitted by email:

E-mail:

You must save your application form as follows: EASO-Award-Application – FAMILYNAME.

For example:EASO-Award-Application-SMITH. Please save as an MS Word document, do not convert to PDF.

Personal details:

First name(s) Surname:
Address:
Telephone(s):
Email:
Nationality:
Date of Birth:
Gender:
Member National Association (see EASO website for a list of Member Associations):

Please indicate which award you would like to apply for (application can be for more than one award):

New Investigator Award for Basic Science
New Investigator Award for Clinical Research
New Investigator Award for Public Health
New Investigator Award for Childhood Obesity Research
New Investigators United Best Thesis Award
EASO Travel Grant

I am applying for a New Investigator Award. Should I be successful, I hereby agree to submit a paper to Obesity Facts within 3 months of ECO2018

I have submitted an abstract to ECO2018 (please also select this option in the online abstract submission process)

Please tick below, additional items submitted with your application:

A signed letter of approval from your Supervisor

Additional evidence provided with this form to support your application

A copy of your thesis (New Investigators United Best Thesis Award only)

Award application:

Please justify in no more than 300 words why you should receive the EASO award, for which you are applying. Please see the EASO websitefor guidance.

Evidence ofyour most important publications, awards and involvement with your National Obesity Association should be highlighted. Please attach documents that you feel would be relevant to back up your application(e.g. full publication list).

(300 words)

Work Experience (most relevant and recent):

Dates:
Occupation or position held:
Main activities and responsibilities:
Name and address of employer:
Type of business or sector:

Education and Training (most relevant and recent):

Dates:
Title of qualification awarded:
Principal subjects/ occupational skills covered:
Name and type of organisation providing education and training:
Level in National or International classification:

N.B: If you do not receive receipt of your application within 48hrs of submission, please contact the EASO Secretariat.

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