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American Fisheries Society Physiology Section
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AFS Physiology Section Student Travel Award
AFS Physiology Section Student Travel Award Form
Please provide the following information about your planned travel to ICBF. Your responses will help us understand student demographics and financial need so that we can allocate available travel support as equitably and effectively as possible.
Student Information
First Name
(Required)
Last Name
(Required)
Institution
(Required)
Country
(Required)
Email
(Required)
The same email you used to register for the conference is preferred.
Principle Investigator Information
Eligibility for AFS Physiology Section travel support to ICBF is not affected by whether your principal investigator (PI) is a Section member.
PI First Name
(Required)
PI Last Name
(Required)
PI Institution
(Required)
PI Country
(Required)
PI Email
(Required)
The same email they used to register for the conference is preferred.
Student Travel and Funding Information
This information will help us better understand the financial need of our student attendees. Please only consider costs of registration, travel, and lodging for the fields below. Do not consider food or per diem during the meeting (we will factor those costs in later).
Where are you travelling from?
(Required)
US
Canada
Mexico
Other North America
Outside of North America
Mode of Travel
(Required)
Driving
Flying
Other
Approximate Total Cost to Attend ICBF
(Required)
[enter numbers only] This number should reflect the total costs (in US Dollars, $) for registration, travel, and lodging (not including food/per diem). If splitting or sharing travel and/or lodging costs, please include only your portion of the costs.
Any Funds Received to Attend ICBF
(Required)
[enter numbers only] This number should reflect any funds or payments (in US Dollars, $) from supervisors, scholarships, fellowships, grants, departments, institutions, reimbursements, etc. that are going toward the ‘Total Cost to Attend ICBF’ listed above (i.e., registration, travel, and lodging; not including food/per diem costs).
Personal Costs Incurred to Attend ICBF
(Required)
[enter numbers only] This number should reflect any costs (in US Dollars, $) that you are personally committing to the total cost of attending ICBF listed above (i.e., registration, travel, and lodging; not including food/per diem costs). This number should be the difference between ‘Total Cost’ and ‘Funds Received’ numbers listed above.
Additional Comments
If there is anything else regarding your travel we should know, please indicate it here. Thank you.
Bank Information
Account Holder Name
(Required)
Your name, as listed on your bank account.
Bank Country
(Required)
The country your bank is located. For US and Canadian Banks, please type exactly ‘United States’ or ‘Canada’; you will receive funds by check at the conference and need not enter any additional bank account information. For all other countries, fill out the remaining banking information below; you will receive funds by EFT after the conference.
Bank Information (Non-US and Non-Canada Account Holders Only)
Your banks will not accept US checks. In order for us to EFT transfer you funds, please enter all information that you have pertaining to your bank and account. Please be careful to enter information accurately, as listed on your bank account. The information entered here is kept securely and deleted permanently once travel funds have been dispersed. In any of the fields below, you can enter ‘NA’ if not applicable.
Accountholder Address
(Required)
Your address, as listed on your bank account.
Bank Name
(Required)
Bank Address
(Required)
Your bank’s address.
Routing Number
(Required)
If your bank has one (most common for US and Canada banks).
IBAN
(Required)
If your bank has one (most common for European banks).
SWIFT Code
(Required)
If your bank has one (most banks have one).
Bank Account Number
(Required)
All bank accounts have one.
Disbursement of Funds
Funds for Student Travel Awards will be available based on financial need and disbursed via check (in-person at the conference) or bank transfer (after the conference). An email will be sent to all students at the beginning of the conference with more information regarding the availability and disbursement of student travel funding.
