Individual sponsorship application

Name *

First name *

Lab, company, organization *

City *

Country *

Status *PhD, Post-Doc....

Email *

Are you an EMA member ? *YesNo

Name *

Scope *Focus of the event in a few words.

City or area

Country *

Date *Starting date.

Duration *

LinkIf known.

Please keep your responses to each field to no more than a couple of lines and go straight to the point.

Motivation to attend the event, expected impact *Ex: learn, disseminate, network....

Motivation to apply for EMA sponsorship *Ex: financial constraint, need to convince an advisor, seek visibility.

Overview of budget (travel, registration, accommodation) *

Requested support (max 500€) *

Expected means of transportation to the event *

This is for information, this is not a formal criterion

Communication *

Has an abstract been or is planned to be submitted, pending or accepted, which type of requests/accepted contribution (talk or poster). The support and refund require that participation takes place. A contribution must be accepted and presented eventually, either oral or poster, except for schools.

Other events attended or scheduled

Name

First name

Lab, company, organization

Status

Email