Application for Supplemental Funding for ANS Female Student Members to attend American Nuclear Society National Meetings The Professional Women in the American Nuclear Society (PWANS) is committed to encouraging women to enter and flourish in the field of nuclear science and technology. In fulfilling this commitment, PWANS awards supplemental funding (up to a maximum of $550 per meeting) to current female student members in reimbursement of travel, hotel, and meal expenses in attending the ANS Annual Meeting in June or the Winter Meeting in November. Awards may not be made in all years, depending on the applications received and the availability of funds for any given year. The application is for current student members of ANS only. Previous receipt of PWANS travel funding, though not a disqualifying factor, will be taken into consideration. First Name Mailing Address Initial Phone ( ) College/University Major/Minor Status (e.g., junior or MS candidate) Last Name Email Expected Year of Graduation Academic and Professional Honors GPA (on 4.0 scale): 4.0-3.5 [ ] 3.49 – 2.51 [ ] Is there a student or local section in your geographic area? Are you a student or local section Member? 2.49 – 1.51 [ ] Yes [ ] 1.5 or below [ ] No [ ] Yes [ ] No [ ] Describe any ANS local, national, student activities/participation, including offices held, committees, etc. Describe one professional development or outreach activity you engage in to promote nuclear science and/or engineering. Page 1 of 2 Explain why you want to participate in the ANS national meeting and what benefits you hope to glean as a result of attendance: (i.e. presenting a paper, serving on a committee, division meetings). Briefly describe your career goals, including any obstacles encountered or overcome on your path to achieving those goals. Have you previously attended a national meeting of the ANS? Yes [ ] Have you previously attended a PWANS meeting at a national meeting? No [ ] Yes [ ] No [ ] Have you previously received funding from PWANS to attend a national ANS meeting? Yes [ ] No [ ] Do you expect to have, or have you applied for, any other funding for attending this meeting? Yes [ ] No [ ] If yes, how much and from where? (Other funding does not disqualify you from consideration. We understand that any funding we offer must be supplemented.) How and where did you learn about PWANS supplemental funding to attend an ANS national meeting? I certify that the information given in this application is correct and complete to the best of my knowledge and belief: Applicant Name Signature Faculty Advisor Name Signature Email Address Date Date Phone Print form and obtain required signatures. Scan and email completed application to: [email protected] Deadlines to submit emailed application: by May 15 for the Annual Meeting, and by September 15 for the Winter Meeting Page 2 of 2
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