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AMERICAN PHYSIOLOGICAL SOCIETY
RESEARCH CAREER ENHANCEMENT AWARDS
APPLICATION

NAME:_____________________________________________ DATE:_____________________________

APS Membership ID #                                                   (REQUIRED)

ADDRESS:_________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

PHONE:____________________ FAX:____________________ E-MAIL:_____________________

TOTAL AMOUNT REQUESTED:__________________________________________________________________
 

INCLUDE THE FOLLOWING ITEMS WITH THIS APPLICATION FORM:

1. DESCRIPTION OF RESEARCH CAREER ENHANCEMENT ACTIVITY.

2. DESCRIPTION OF CURRENT RESEARCH PROGRAM AND AN EXPLANATION OF HOW THIS RESEARCH CAREER ENHANCEMENT AWARD WILL BENEFIT YOUR RESEARCH (not to exceed 2 page).

3. JUSTIFICATION OF FUNDS REQUESTED: In general, the maximum allowable budget is $4,000. Additional funds might be awarded if the request is adequately justified. Supplies to the host laboratory up to a maximum of $2,000, travel expenses, and course registration fees, if justifiable, are allowable. The award is for a single support period with variable length. It is not intended to be used as alternative support for sabbatical leave, nor should it be used to provide travel to scientific meetings, workshops, or symposia with limited scope for scientific growth.

4. LISTING OF CURRENT RESEARCH SUPPORT.

5. LETTER OF SUPPORT FROM THE DEPARTMENT CHAIR/                                

1. OTHER APPROPRIATE INDIVIDUAL                                                

2. FOR LAB VISIT/LETTER FROM THE HOST LABORATORY                            

3. FOR ATTENDANCE AT COURSES (Please supply only one)

   1. COURSE DESCRIPTION                                                                     

   2. COURSE OUTLINE                                                                              

6. CURRICULUM VITAE (NIH Biographical Sketch) 

1. APPLICANT                                                    

2. HOST LABORATORY                                                      

SUBMIT an Original and Twelve Copies of All Application Materials to:
 

Dr. Martin Frank
American Physiological Society
Research Career Enhancement Award
9650 Rockville Pike
Bethesda, MD 20814-3991
Phone: 301-634-7118   
Fax: 301-634-7242   
E-mail: [email protected]