GHEFP/GHFRA Conference Grant

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First name *

Last name *

Email address *

JHU School affiliation *

Department affiliation *

Title of Conference *

Location of Conference *

Date of Conference *

YYYY

Type of presentation *

Option 1

Oral Presentation

Other:

GHEFP/GHFRA Project Title *

GHEFP/GHFRA Faculty mentor *

If awarded this grant, I commit to attending and presenting my GHFRA/GHEFP research. I have obtained all necessary support and consent from my GHFRA/GHEFP advisor. I agree to use the grant for only conference related expenses. I commit to submitting an abstract, appropriate citation and 2 photos from the conference to the Center for Global Health upon my return. (Type name to sign) *

To complete your application, please have your project mentor email bsph.ghgrants@jhu.edu to confirm their support of your application.

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