CPHS 2022 Fellows Application

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Please use this form to apply to the CPHS 2022 Fellows program, which will reimburse travel and registration costs for approximately 10 students and early-career researchers from historically-underrepresented groups affiliated with US institutions to participate in the meeting.

You are in the best position to determine whether you identify as a student / early-career researcher and member of a historically-underrepresented group in your research community, the latter of which includes but is not limited to women, underrepresented minorities, first-generation college students, LGBTQIA+, and people with disabilities. You will not be expected or required to declare the group(s) you identify with to participate in the Fellows program.

We encourage folks to apply regardless of whether they are co-author on a paper accepted for publication at the meeting -- our intention is to help broaden participation in the community in this and future years.

For transparency, the selection criteria we will use are: financial need; institutional affiliation; potential benefit to applicant; and potential benefit to CPHS community. Our primary goal is to incorporate people who do not currently identify as being a part of the CPHS community but are in adjacent areas of research (e.g., neuroscience, neuroengineering, health, human-computer interaction, accessibility, etc.) who may be interested in participating.

Email *

What is your current research position? e.g. undergraduate student, graduate student, postdoctoral researcher, faculty, industry researcher *

What is your current research affiliation? e.g. name of university and department, government agency, private company, or non-governmental organization -- PLEASE NOTE that our funds are only available to researchers affiliated with US institutions *

Do you identify as a member of a historically-underrepresented group in the CPHS community? e.g. including but not limit to women, underrepresented minorities, first-generation college students, LGBTQIA+, and people with disabilities and/or chronic conditions *

Yes

Are you listed as a co-author on a paper accepted for publication at the meeting? If yes, please provide paper title(s) -- separate multiple titles with a semicolon. (Co-authorship on an accepted paper is not a requirement for the Fellows program -- providing this information will not affect the probability that you are selected as a Fellow.) *

Please state whether you expect to travel to Houston by plane, train, or car, and your expected origin and destination city/cities. (These expenses are the most variable, so providing this information will help us with budget estimates -- providing this information will not affect the probability that you are selected as a Fellow.) *

Please describe any other sources of travel funding, e.g. research mentor(s) and/or institutional support that can pay for you to attend the meeting. (NOT self-pay / from your own personal funds.) *

Please provide a link to your resume, CV, and/or professional website. (If you haven't created these before: we have guidance on the Fellows web page, and example / template is available here: https://docs.google.com/document/d/1O9vUb5_2DdnV-hSF_iClYhsJgE-cMFDW6WoFZvi-zzc/edit#) *

Please provide the contact information for your research mentor(s) or advisor(s), if applicable -- separate multiple people with a semicolon *

Please provide a brief statement describing how participating in the Fellows program may benefit you and/or your research (a paragraph is sufficient), particularly if participation would help you overcome any financial or institutional barriers to participation. *

Send me a copy of my responses.

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