AMERICAN PHYSIOLOGICAL SOCIETY
SHIH-CHUN WANG YOUNG INVESTIGATOR AWARD
Application Form
Name__________________________________________
Date________________________________
APS Membership ID #
(REQUIRED)
Address____________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
Telephone__________________ Fax___________________
E-Mail____________________________
INCLUDE THE FOLLOWING WITH THIS APPLICATION FORM:
DESCRIPTION OF CURRENT AND FUTURE RESEARCH PROGRAM (not to
exceed 3 pages)
JUSTIFICATION FOR HOW AND WHY THE APPLICANT MEETS THE INTENT
OF THE AWARD
COPY OF ABSTRACT SUBMITTED FOR THE EXPERIMENTAL BIOLOGY
MEETING
CURRICULUM VITAE
LISTING OF CURRENT RESEARCH SUPPORT
LETTERS OF SUPPORT FROM DEPARTMENT CHAIR OR SCIENTIFIC MENTOR.
OTHER LETTERS (NOT TO EXCEED 2) FROM PROFESSIONAL INDIVIDUALS
KNOWLEDGEABLE WITH THE APPLICANT'S WORK.
(Submit an Original and Twelve Copies of All Application Materials)
APPLICATION DEADLINE: November 1.
Return completed application materials to:
Shih-Chun Wang Award
c/o Dr. Martin Frank
American Physiological Society
9650 Rockville Pike
Bethesda, MD 20814-3991
Phone: 301-634-7118
Fax: 301-634-7242
E-mail: [email protected]
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