Trainee Travel Scholarship Application Once your abstract has been accepted to the Annual MWPCS Meeting, please fill out this form and submit to admin@mwpcsociety.org to be considered for a travel scholarship of $250.00 to attend the conference. In the ‘Reason of Request’ section below, please explain in detail your need for scholarship and indicate that you have exhausted potential funding at your institution.

Name:

Address:

Institution:

Training Status:

Abstract Acceptance: oral or poster

Title of Abstract:

Name of Senior Author/Mentor:

Reason of Request: