Veterinary Cancer Guidelines and Protocols

Presentation Scholarship Application

Applicant Information

Name *

First

Last

Email *

Institution / University *

Residency / Graduate Program Type *

Oncology
Clinical Pathology
Anatomic Pathology
Other

Year in Training Program

Supervisor Name *

First

Last

Supervisor Email *

CV

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Supervisor Letter of Support

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Please include a signed letter from your supervisor confirming you are currently enrolled in a veterinary residency / graduate program and that they support your application.

Meeting Information

Name of Conference / Meeting:

Conference Location:

Conference Website:

Conference Date(s):

Presentation Type

Oral
Poster

Presentation Title

Abstract

Has the abstract been accepted? *

Yes (please attach confirmation below)
No

Additional Information

Oncology Relevance and Professional Development Statement

(Maximum 500 words total) Please address the following: 1. Importance of the meeting 2. Relevance of your work to oncology 3. How the scholarship will support your professional development

Research Area *

Please indicate the area(s) most relevant to your work:

Estimated Budget

Estimated Cost - Conference Registration

Estimated Cost - Travel

Estimated Cost - Accommodation

Estimated Cost - Poster / Presentation Costs

Estimated Cost - Other

Total Estimated Cost

Please indicate any additional funding sources:

Reference Guide Contribution to VCGP

Recipients are expected to develop a reference guide or pathology quick reference guide for submission to VCGP.

Proposed Title of Reference Guide:

Estimated Submission Timeframe:

NOTE: By submitting this application, you confirm that the information provided in this application is accurate and complete to the best of your knowledge.

Title Year Registration

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