ONE HEALTHSTUDENT TRAVEL AWARD APPLICATION

CHECKLIST:

Completed application form

Abstract (attached to application) with full list of authors

Confirmation that your abstract has been accepted must be submitted before funding can be released.

BIOGRAPHICAL INFORMATION

Name:
Email address:
Phone:
College:
Department:
Mail stop:
Major advisor:
Email address:
Stipend:
(Please remove not-applicable choices) / Assistantship: Teaching / Research / Other (please specify):
Fellowship: On-campus / External
Other: (please specify)
Not applicable

CONFERENCE INFORMATION (If known)

Conference name:
Dates: / From to
Dates you will attend: / From to
Location:
Conference website:
Abstract title:
Presentation format: / Poster/oral / Already accepted? / Yes No

(Please delete not-applicable choice)

ADDITIONAL INFORMATION

Have the results of this study or the data you are planning to present at this conference been presented at a conference before? / Yes No
Will you be a TAMU employee at the time of travel? / Yes No
Will your travel be arranged by a TAMU department? / Yes No
If yes, please indicate your travel coordinator’s contact information:
Name:
Email:
Office phone number:
What degree are you pursuing?
When did you begin this degree program?
What is your expected graduation semester and year?

OPEN RESPONSE

Short project description (without repeating the abstract verbatim):
Begin text here.(150-200 words)
Basic summary of research with language that is understandable to a the general public:
Begin text here.(150-200 words)
Describe how your research impacts a societal need and serves as an example of a One Health approach:
Begin text here. (150 words or less)
Describe the anticipated impact that this One Health travel opportunity will have on you and your project:
Begin text here.(150 words or less)
Describe how participation in this One Health research has enhanced your future goals:
Begin text here. (150-200 words)

TRAVEL BUDGET ESTIMATION

  1. Expenses
/ Amount Estimated:
Air Travel
Local Travel
Registration
Food/Meals
Hotel/Room
Other Costs
Total Amount Estimated:
  1. Contributions

Contributions from PI Funds
Contributions from College
Contributions from Scholarships/Grants
Contributions from Other Sources (e.g. personal, please specify)
Total Contributions Estimated:
  1. Amount Requested
Maximum request is $500.00 / (Total Amount Estimated – Total Contributions Estimated)
Note to the reviewers
(optional):

ACKNOWLEDGEMENTS AND SIGNATURES

Major Advisor, please complete the following fields:
I certify that ______(applicant’s full name) is a student affiliated with my research and that I support this application for a One Health Student Travel Award.
Name (printed): ______
Signature: ______
Date: ______
Applicant, please complete the following fields:
I certify that, should I be selected for a One Health Student Travel Award, I will:
  • Submit a summary (100 words or less) that responds to the following prompts no less than two weeks after I return from the conference:
  • Summary of my take-away/benefit from this conference;
  • Statement on the impact the travel award had on my experience; and
  • A quote from my mentor about my role in this research project.
  • Submit anengaging photo of myself at the conference that can be used in One Health marketing materials (e.g. action shot of myself with my presentation,active participation in conference activities, etc.).
  • Acknowledge the Texas A&M One Health Initiativeand the Texas A&M University College of Veterinary Medicine & Biomedical Sciences as sponsors and include these two logoson my poster and/or oral presentation.(Directions to download these logos can be found on the Texas A&M One Health Initiative website.) Please remember to also acknowledge others who contribute funding.
Name (printed): ______
Signature: ______
Date: ______

Please email this completed application form, your abstract, the confirmation of submission or acceptance of abstract, and any supporting documents to .

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