SPR 2024 EUSPR Annual Meeting Travel Awards for Early Career Prevention Scientists

APPLICANT INFORMATION

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* 1. Are you planning to attend the EUSPR conference in person?

YES, definately

YES, maybe

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* 2. PLEASE COMPLETE THE FOLLOWING REQUESTED INFORMATION:

FIRST NAME

LAST NAME

HIGHEST DEGREE

DEGREE YEAR

POSITION

INSTITUTION

DEPARTMENT

ADDRESS

STATE/PROVINCE

COUNTRY

EMAIL

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* 3. Are you currently a member of the Society for Prevention Research? You MUST be a member of SPR in order to be eligible for a EUSPR registration award. If you are not a member, you may apply for membership at the same time as you submit this registration award application: http://www.preventionresearch.org/membership/applications/

YES

NO

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* 4. Race/ethnicity (informational purposes only)

American Indian, Native American

Asian, Pacific islander

Black, African American

Spanish, Hispanic, Latino

White, Caucasion, European

Prefer not to specify

Other (please specify)

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* 5. What is your career level?

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* 6. What is your occupation?

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* 7. How did you hear about the EUSPR registration award?

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* 8. Will you be presenting (e.g., oral paper, poster, chair, and/or discussant in a session) at the EUSPR 2024 conference?

YES

NO

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* 9. If yes, indicate your presentation title

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* 10. Are you a member of the EUSPR Early Careers Forum (https://euspr.org/early-careers-forum/)

YES

NO