Application

BRIA Scholarship $500.00

2006

Submit by 5:00pm Eastern time by Friday September 8, 2006

 

Applications are accepted from active members only. Criteria for selection are (1) relevance of the
knowledge gained for the membership, in addition to the individual recipient; and (2) the potential for a
valuable presentation at the Meeting.

Last Name:*
First Name:*
Middle Init:
Your GCRC:*
   
Activity Start Date: (i.e.: 11/25/1999)
Activity End Date: (i.e.: 11/26/2001)
   
Describe the Activity (include the meeting or course you will attend and specific activity such as a tutorial, if applicable):
   
Relevance for BRIA members:
   
This activity will benefit me because:
   
My presentation about this activity will provide a benefit for members because:
   
Give an outline of the presentation you plan to make to the group to share the benefit of the activity with them at the National Meeting in March 2007, or by Informatics Grand Rounds if you are unable to attend the Meeting. The presentation should be at least one hour in length. State goals and outcomes expected:
 
       

*: required