UMN CTSI/CMRR Imaging Conference Travel Award Designation Form

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The University of Minnesota CTSI is offering a limited number of travel stipend awards to encourage attendee participation in the conference, "Toward the Clinical Translation of Ultra-High Field MRI" on November 18 & 19, 2019.

CTSA Program hubs are eligible to designate one individual per hub to receive a stipend award of up to $500 to facilitate participation in the event. The first 20 hubs to designate a recipient will be granted awards. To expedite our process, there will not be a formal nomination and review of applicants. We simply invite hub Principal Investigators (PIs) to designate one award recipient of their choice

Each stipend award includes:
- A maximum amount of $500 USD (reimbursed) to cover coach airline travel or mileage.
- Two nights hotel accommodations pre-paid.

We ask hub PI or a designated official to please consider participants who are:
- early career investigators AND/OR KL2 scholars with a dual interest in ultra-high field imaging and the management of a particular clinical problem,
- engaged in clinical application of ultra-high field imaging,
- new to this area of research, AND/OR active in ultra-high field imaging learning but do not have the resources to participate in the conference

Questions can be directed to ctsi@umn.edu

Email *

Travel stipends will be awarded on a first-come, first-served basis. Please complete this form no later than October 8, 2019 to designate one individual from your hub to receive a stipend award.

Nominating PI name(s) *

Nominating PI email *

Recipient's First Name

Recipient's Last Name *

Recipient's Email Address *

Recipient's Title *

Recipient's Clinical Area of Interest or Expertise *

Is Recipient a KL2 Scholar *

Yes

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