30TH RCMI PROFESSIONAL DEVELOPMENT AWARDS
REQUEST FORM 2024

Question Title

* 1. Contact Information

First Name

Last Name

E-mail

Phone number

School

Department

Area of research

Position

If graduate student, specify (Yes/No):

If faculty, specify (Yes/No):

Proposed departure date (mm/dd/yyyy):

Proposed arrival date (mm/dd/yyyy):

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* 2. Description of training/collaboration arrangements (a brief description of the intended activity and its relevance to the applicant research development (one page). Specify expected outcome(s): i.e. Training / Publication / Grant application).

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* 3. Estimated costs ($)

Housing/Hotel

Plane tickets

Land transportation

Per diem

Registration (If applies)

Other expenses (Yes/No)

Specify other expenses

Estimated total cost

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* 4. Please submit your documents to rcmi.rcm@upr.edu (check if completed)

Your Biographical Sketch in new format (Rev. 10/2024. Approved Through 09/30/2024) Download here

A brief description of the intended activity and its relevance to the applicant's research development (one page). Specify expected outcome (i.e. Training/Publication/Grant application)

A letter of support from host collaborator/laboratory

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* 5. For graduate students only please upload (check if completed):

Letter of support from advisor with copy to the School Dean (this is a requirement)

SUBMIT YOUR ELECTRONIC APPLICATION FORM BY WEDNESDAY, JANUARY 22, 2024.

30TH RCMI PROFESSIONAL DEVELOPMENT AWARDSREQUEST FORM 2024

Question Title

* 1. Contact Information

Question Title

* 2. Description of training/collaboration arrangements (a brief description of the intended activity and its relevance to the applicant research development (one page). Specify expected outcome(s): i.e. Training / Publication / Grant application).

Question Title

* 3. Estimated costs ($)

Question Title

* 4. Please submit your documents to rcmi.rcm@upr.edu (check if completed)

Question Title

* 5. For graduate students only please upload (check if completed):

30TH RCMI PROFESSIONAL DEVELOPMENT AWARDS
REQUEST FORM 2024