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EUSTIPEN Request for a Travel Grant

Please step through the entry instructions, following the stated format.
Required entries are in red.

When complete, press Submit button at the bottom.

  1. First name:     Last name:
    You can put more than one name in either box as well as suffixes.
  2. Email:
    Email confirm:
    This is the email address we will use to contact you.
  3. Position title:
    E.g., faculty, laboratory staff, postdoc, graduate student
  4. Current primary institutional affiliation:
    Address 1:
    Address 2:
    Address 3:
    City:     State:     Zip code:
  5. Phone:    
    In format xxx-xxx-xxxx.
  6. Emergency contact information (required by MSU):
    Contact name:
    Contact phone:
    Contact email:
  7. Citizenship (if not U.S.):
    Visa type:
  8. Event name:
  9. Select one or more:
    Collaboration meeting
    ECT* workshop
    Training program
  10. Departure date (yyyy-mm-dd):
    Return date (yyyy-mm-dd):
  11. Purpose for travel:
    Choose from Speaker, Collaborator, Participant, Organizer, Other (specify)
  12. For ongoing collaborations, list 1-2 relevant publications:
  13. Senior researchers only: provide justification for support (see EUSTIPEN policy ii)
  14. When you have filled in all the blanks, press .