2020 DeLill Nasser Award Application

for conferences or courses held between January 1 - June 30, 2020

 

Applications are due by: November 14, 2019, 11:59 pm, U.S. Eastern Time
Application deadline has passed.

 

 

*All Fields Required

Applicant

Applicants must be members of GSA for the 2020 calendar year (January 1 - December 31). Please go to the membership page to join.

First Name:  

Middle Initial:  

  (optional)

Last Name:  

Department:  

Affiliation:  

Address Line 1:  

Address Line 2:  

  (optional)
City:  
State:     (US only)
Zip Code:     (US only)
Province:     (Non-US only)
Postal Code:     (Non-US only)
Country:  
Phone Number:   e.g.: 301-555-1515
Email Address:  

Gender (check all that apply):  

 
 
 
 

Ethnicity (check all that apply):  

 
 
 
 
 
 
 
 
Position:  
Advisor/Mentor/Lab Head:  

Undergraduate Institution

Name:  

Year started:  

(YYYY)
Year ended:   (YYYY)
Degree Granted:  

Graduate Institution

Name:  

Year started:  

(YYYY)
Year ended:   (YYYY) - Grad Students: include anticipated end date
Degree Granted:   Grad Students: indicate anticipated degree

Research Experience

If you are a postdoctoral associate, provide a description of your graduate research experience (100 - 700 words; postdocs only)
If you exceed the word limit, you will not be able to successfully submit this form.
 
Describe your record of service to the scientific community (limit to 700 words)
If you exceed the word limit, you will not be able to successfully submit this form.
 
Statement of Current Research Interests and Progress (100 - 700 words)
If you exceed the word limit, you will not be able to successfully submit this form.
 

Document Upload

Please upload your Curriculum Vitae.
Document should be in PDF format.

Information About Meeting/Course

Applying for funds to attend: 

  Meeting    Course

Meeting/Course Title:  

Location:  

Start Date:  

(MM/DD/YYYY)

End Date:  

(MM/DD/YYYY)

Describe how the  meeting/course will enhance your professional development (100 - 500 words)  


If you exceed the word limit, you will not be able to successfully submit this form.
 

If applying for a meeting, please specify if you plan to

   present a talk    present a poster    register without presenting

Budget Information

Budget Justification for $1000 award (100 - 700 words)
If you exceed the word limit, you will not be able to successfully submit this form.
 

References

Please provide names of two references who will provide letters of recommendation. We strongly recommend that one of the references be provided by your current graduate or postdoctoral advisor.

Immediately after the successful submission of your application, each person you have given as a reference will receive an email requesting the submission of a letter of recommendation on your behalf, to be uploaded no later than November 19, 2019. If you are planning to wait until November 14 to submit your application, PLEASE NOTIFY YOUR REFERENCES well ahead of time and ask them to have the letter prepared. Your application will be considered incomplete without the accompanying references.


Reference 1

Name: 

Institution: 

Email Address: 
Phone: 
Relationship: 

Reference 2

Name: 

Institution: 

Email Address: 
Phone: 
Relationship: 

 

Please review the contents of this form for completeness and accuracy before submitting it.

A confirmation email will be sent to you upon successful submission.

All applications must be submitted online. Please send any questions or concerns to Anne Marie Mahoney, education@genetics-gsa.org.