Application for scholarship to attend the

2018 Scientific Meeting and Education Day

of the Society for Neuro-Oncology

November 15 – 18, 2018

Marriott Hotel

New Orleans, Louisiana, USA

Submission Deadline: June 1, 2018

The Societyfor Neuro-Oncology will hold its 23rdAnnual Scientific Meeting and Education Day on November 15 – 18, 2018 at the Marriott Hotel in New Orleans, Louisiana.

A total of seven $1500.00 scholarships* will be awarded at the discretion of the SNO International Outreach Committee to applicants from low income or developing nations in each of the following geographical regions (one per region): South America/Central America & the Caribbean, Central and Southern Africa, China & associated countries, Far East and Australasia, Indian Sub-Continent, North Africa & the Middle East and Eastern Europe. See list of eligible countries within these regionson the following page.

In order to be considered for one of the travel scholarships, the applicant must meet the following guidelines:

  1. Work and live outside the United States or Canada
  2. Be amedical professional with a focus in neuro-oncology
  3. Has not previously received the scholarship for a past SNO meeting
  4. Could otherwisenot attend without the benefit of a travel scholarship
  5. Is not the presenting author of an abstract being submitteed to the SNO meeting
  6. Have no visa issues entering the United States (SNO cannot provide visa assistance other than providing a letter of invitation)
  7. Complete accompanying application (third page) and return by June 1, 2018

Applicants will be notified via email by July 6, 2018if they have been selected for a scholarship.

SNO will provide complimentary hotel accommodations at the conference hotel and registration to the entire meeting. The award winner will be responsible for air transportation and transfer costs to and from the meeting.

Recipients will be invited to present a poster at the meeting during one of the poster sessions.

*The $1500.00 USD award will be presented to the winning applicants on-site at the meeting in

New Orleans. This award is intended to offset travel expenses and may or may not cover all costs.

LIST OF ELIGIBLE COUNTRIES

Source: World Bank-

Afghanistan

Albania

Algeria

American Samoa

Angola

Argentina

Armenia

Azerbaijan

Bangladesh

Belarus

Belize

Benin

Bhutan

Bolivia

Bosnia and Herzegovina

Botswana

Brazil

Bulgaria

Burkina Faso

Burundi

Cabo Verde

Cambodia

Cameroon

Central African Republic

Chad

China

Colombia

Comoros

Congo, Dem. Rep.

Congo, Rep.

Costa Rica

Côte d'Ivoire

Cuba

Djibouti

Dominica

Dominican Republic

Ecuador

Egypt, Arab Rep.

El Salvador

Equatorial Guinea

Eritrea

Ethiopia

Fiji

Gabon

Gambia, The

Georgia

Ghana

Grenada

Guatemala

Guinea

Guinea-Bissau

Guyana

Haiti

Honduras

India

Indonesia

Iran, Islamic Rep.

Iraq

Jamaica

Jordan

Kazakhstan

Kenya

Kiribati

Korea, Dem. People's Rep.

Kosovo

Kyrgyz Republic

Lao PDR

Lebanon

Lesotho

Liberia

Libya

Macedonia, FYR

Madagascar

Malawi

Malaysia

Maldives

Mali

Marshall Islands

Mauritania

Mauritius

Mexico

Micronesia, Fed. Sts.

Moldova

Mongolia

Montenegro

Morocco

Mozambique

Myanmar

Namibia

Nepal

Nicaragua

Niger

Nigeria

Pakistan

Palau

Panama

Papua New Guinea

Paraguay

Peru

Philippines

Romania

Russian Federation

Rwanda

Samoa

São Tomé and Principe

Senegal

Serbia

Sierra Leone

Solomon Islands

Somalia

South Africa

South Sudan

Sri Lanka

St. Lucia

St. Vincent and the Grenadines

Sudan

Suriname

Swaziland

Syrian Arab Republic

Tajikistan

Tanzania

Thailand

Timor-Leste

Togo

Tonga

Tunisia

Turkey

Turkmenistan

Tuvalu

Uganda

Ukraine

Uzbekistan

Vanuatu

Venezuela, RB

Vietnam

West Bank and Gaza

Yemen, Rep.

Zambia

Zimbabwe

APPLICATION TO ATTEND THE SOCIETYFOR NEURO-ONCOLOGY

23rdANNUAL SCIENTIFIC MEETING AND EDUCATION DAY

NOVEMBER 15 – 18, 2018

MARRIOTT HOTEL, NEW ORLEANS, LOUISIANA

Name:______Degree(s)______

Address:______

______

City: ______State/Prov.: ______

Country: ______Postal Code:______

Place of work: ______

Phone: ______E-mail (required):______

Primary area of interest: ______

Are you the presenting author of an abstract submitted to this meeting? Yes No

Why do you think it is important that you attend this meeting?

How will you use the information learned to foster neuro-oncologyeducation upon your return to your home country?

With my signature below, I declare I am unable to attend SNO’s23rdAnnual Scientific Meeting without benefit of a travel scholarship and have no visa restrictions for travel to the United States. (SNO is unable to provide visa assistanceother than providing a letter of invitation). I understand

the amount of the award is limited to $1500.00 and will be presented on-site at the meeting.

Signature ______Date ______

Please return completed application by fax or email to the attention of Linda Greer:Fax: (713) 583-1345, Email: .