Scholarship application form

Name and Surname:
Telephone number (including international code):
Email address:
Full Mailing Address:
Are you a member of Inebria?*1
Please give your job title and institution, and describe briefly what your work involves:
When did you receive your last formal academic qualification? Please give details (title, institution, year)

Funding

Which funding are you applying for?
Waived conference fee
Travel/flight expenses (up to a limit of $1,000)
Accommodation expenses (up to a limit of$500)
Full support (waived fee, travel, accommodation) (up to a limit of $1,500 plus fee)

Do you have any other funding/sources of support for attending INEBRIA conference?

Conference attendance

Have you attended any previous INEBRIA conferences? Please give details.
How will your attendance benefit you?
How will your attendance benefit SBI in your local area/country
How will your attendance benefit INEBRIA?
Have you submitted an abstract for the conference?2 Please give title.
What kind of mentoring activities are you interested in? What areas of expertise would you like your mentor to have?
1Remember that being a member is a condition sine qua non to be awarded with the scholarship. You can become a member by filling this on-line form.
2Remember to submit the abstract before 28/04/2019
Thank you very much for your interest.

If you need more information please contact us: inebria@gencat.cat


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