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EAAMO'21 Financial Assistance Form
We are committed to fostering diversity of representation at our conference. Please fill out the questions below in order to be considered for financial assistance.
We will provide two kinds of assistance:
1) Registration fee waiver.
2) Paid data plan top-ups for virtual attendance.
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* Indicates required question
Email
*
Your email
Name:
*
Your answer
Affiliation:
*
Name of institution, e.g. University of Oxford
Your answer
Position:
*
Name of job position, e.g. Assistant Professor, Civil Servant, Manager, PhD student, Undergraduate Student, Entrepreneur
Your answer
What is your current time zone?
E.g. GMT-7: Pacific Daylight Time
Your answer
What city and country do you currently reside in?
Your answer
Where do you currently reside? (Country/city)
E.g. New York, USA
Your answer
Gender:
Female
Male
Genderqueer/non-binary
Prefer not to say
Other:
Clear selection
Are you of Hispanic, Latino, or of Spanish origin?
Yes
No
Other:
Clear selection
How would you describe yourself?
African American
American Indian or Alaskan Native
Asian
Black
Native Hawaiian or Other Pacific Islander
White
Mixed race
Prefer not to say
Other:
Age range:
18-24
25-34
35-44
45-54
55-64
65+
Other:
Clear selection
Do you have a disability you would like to disclose? If so, what can we do to accommodate?
Your answer
Please check all financial assistance options you are applying for
*
Registration fee waiver
Data plan for virtual attendance
Other:
Required
In 100-150 words, please explain your reasons for applying for financial assistance.
*
0 points
Your answer
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