Award and Scholarship Application

1. Your Contact Information:

First Name

Last Name

Title/Position

Organization/Company Name

Street Address

Apt/Suite/Office

City

State

Postal Code

Country

Email Address

Phone Number

URL

2. I am a

	Student/graduate student, doctoral/post-doctoral student
	Entrepreneur
	Other - please specify

3. Please provide a descriptive bio (this may be reproduced on our website or used for publicity purposes): Required Question

4. Briefly describe your current research or work focus: Required Question

5. How will attending this conference benefit you in your professional development? Required Question

6. I confirm that I am an author of an abstract/paper submitted for review.

Yes, I confirm.

7. I confirm that I will send my mentor/department chair/CEO/supervisor's support letter to meetings@worldeventsforum.com. Required Question

Yes, the letter was/will be sent as directed.

8. I confirm agreement to submit a written report of the conference or of a full session selected by the organizers. Failure to submit this report in a timely manner will result in revocation of my award or scholarship.

Yes, I agree.

9. Additional comments to support your application: