| ASCIA Grants for Medical Students |
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FOR MEDICAL STUDENTS STUDYING CLINICAL IMMUNOLOGY / ALLERGY
EXPLANATORY NOTESThe Australasian Society of Clinical Immunology and Allergy (ASCIA) offers annual educational grants to medical students in Australia or New Zealand during their elective term, engaged in activities related to Clinical Immunology and/or Allergy. This grant is an initiative of the local organising committee of the 2000 World Allergy Congress (WAC)*, which was held in Sydney. These annual grants are awarded from the proceeds of this meeting. * WAC was previously known as the International Congress of Allergology & Clinical Immunology.
ASCIA GRANT APPLICATION FORM FOR MEDICAL STUDENTS STUDYING CLINICAL IMMUNOLOGY / ALLERGY Full name of applicant ______________________________________________________
Medical School ___________________________________________________________
Home address ___________________________________________________________
Email___________________________________________________________________
Ph_________________________________ Fax________________________________
1. SUMMARY OF PROJECT (please attach a description of the project and any supporting documentation - up to a maximum of 2 pages) ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________
2. PROPOSED TIMEFRAME _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________
3. PROPOSED BUDGET _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________
4. EXPECTED OUTCOMES _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________
SIGNED _____________________________ DATE ____________________________ Post to:
ASCIA Executive Officer, (and email to This e-mail address is being protected from spam bots, you need JavaScript enabled to view it ) by 30 September |
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| Last Updated ( Monday, 29 October 2007 ) |
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ASCIA MEDICAL STUDENT GRANT APPLICATION