Travel Awards | Perinatal Society New Zealand

First Name*
Last Name*
Supervisor
Email*
Phone*
Membership Discipline*
The above nominee confirms that they (please check boxes to confirm):*
- Are a current financial member of PSANZ/PSNZ
- Are the first author AND presenter of the submitted abstract
- Have only nominated 1 abstract for consideration for an ECR Travel Award
- Do not hold hold a University academic appointment (Including Adjunct) higher than Level B (Tutor, Lecturer, Research Fellow).
- Have been performing research for less than 5 years
- Are not 1st author on an abstract or publication dated prior to 2014
- Have not received a PSNZ/PSANZ Early Career Research Travel Award previously
- Do not receive Continuing Medical Education (CME) funding as part of their salary
In addition, the nominee must be either (select A, B, C or D):*
- A. Enrolled (full- or part-time) in a research degree (Bachelor, Honours,Masters, or PhD)
- B. Within 5 years of award of a Bachelor/Honours degree
- C. Within 2 years of a postgraduate research degree (Masters, or PhD)
- D. A clinician (any discipline) not meeting criteria A, B, or C, whose first involvement in research was in 2015 or later
Please provide: Evidence demonstrating enrolment status
Max. file size: 256 MB.
Please provide: Evidence of the date of award of the relevant degree
Max. file size: 256 MB.
Please provide: Evidence of the date of award of the relevant degree
Max. file size: 256 MB.
Please provide: A written statement by the applicant outlining how they qualify as an ECR (150 words maximum)
Max. file size: 256 MB.
Please provide receipt for 2019 PSANZ or PSNZ membership
Max. file size: 256 MB.