Application For Students Trip

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First Name

Your answer

Last Name

Your answer

Nationality

Please choose

Choose one of the following answers

Class

Your answer

Email Address

Your answer

Name Of Conference/ elective

Your answer

Conference Location

Please choose

Choose one of the following answers

Conference/ elective Start Date

Date in the format: mm-dd-yyyy

Format: mm-dd-yyyy

1900-01-01

2037-12-31

Conference/ elective End Date

Date in the format: mm-dd-yyyy

Format: mm-dd-yyyy

1900-01-01

2037-12-31

Presentation Title

Your answer

Nature Of Presentation/ elective

Oral

Poster

elective

Other:

Choose one of the following answers

Brief description of your research project/findings or your elective course:

Your answer

Where was your research project conducted?

At College of Medicine, mentored by a CMED faculty

At HMC, mentored by a CMED faculty or consultant from HMC

At Sidra, mentored by a CMED faculty or consultant from Sidra

Other:

Choose one of the following answers

Name and email of college faculty mentor who will submit the supporting letter

Your answer

Has your abstract been officially accepted for presentation at the conference/or going for elective?

Yes

No, I am waiting for a response (note: (SCETRC)'s final decision is depending on abstract acceptance)

No, I have not yet submitted my abstract (note: it is too early to apply for this financial support)

Choose one of the following answers

Supporting Documents

Upload files

Upload file

Please upload at most one file

You must upload supporting documents, such as an acceptance letter, which can be made as a PDF or a ZIP file. If you have any issues with uploading, please contact the Student Affairs Office, but they must be received before the deadline.

Have you ever received college support for going to previous conference, or elective?

Yes

Choose one of the following answers

list name of conferences/ electives and years

Your answer

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