Yds Application 2019.doc

Shingo Fujii Young Doctors Summit 2019 Travel Grant Application The Shingo Fujii Young Doctors Summit Grant Recipients and all meeting attendees have the choice to attend one of two sessions listed below. A special reception for young doctors will be held that evening to allow early career professionals an opportunity to network and socialize.  Learning from the Experts: IGCS 2019 Surgical Course  Clinical Application of Molecular Genetics to the Classification and Staging of Endometrial Cancer: A Multidisciplinary and Interactive Course Both sessions will be held in Rio de Janeiro on Thursday, September 19, 2019 from 8:00 AM – 1:00 PM.

Eligibility Requirements 1. English Language Proficiency a. Awardees will have sufficient command of the English language to benefit from attendance at a major international scientific meeting. 2. Membership & Need b. Awardee must be a current IGCS Member. Applicants may apply for membership at the time of submission, but dues must be paid prior to award deadline. c. Only individuals residing in low and lower-middle-income economies are eligible (in accordance with World Bank country classifications). d. Previous YDS Awardees are not eligible to apply. 3. Experience e. Awardees will be multidisciplinary early career professionals who are either; i. Currently in training in surgical oncology, radiation oncology and/or medical oncology OR ii. Five (5) years from fellowship or apprenticeship OR iii. Five (5) years from residency OR iv. Up to Ten (10) years from graduation 4. Funding a. $1,500 USD b. Funds may be used to supplement travel and lodging expenses to attend the Annual Global Meeting. c. Awardees will receive complimentary registration to the Annual Global Meeting. 5. Post-Report & Complimentary Membership a. Completion of a post-meeting evaluation and a 300-word report is required after the award is completed for a one-year complimentary membership following the Meeting. IGCS may post some of the information from the report in its publications.

Instructions Email the completed application to [email protected] by March 27, 2019 at 11:59 PM CDT. Late applications will not be accepted.

Selection and Award Details Completed applications will be reviewed by the IGCS Council. Awardees will be notified in mid-April. The awardee is responsible for booking accommodations, travel and making Visa arrangements. Awards (funding) will be presented at the Meeting.

Shingo Fujii Young Doctors Summit DEADLINE: MARCH 27, 2019

2019 Travel Grant Application APPLICANT INFORMATION Name:       Institution:       Professional Title:       Mailing Address:       Country:       Phone Number:       Email Address:       Date of Birth:       Gender: Male Female Name(s) of your recent Mentor(s) or Teacher(s):       ELIGIBILITY Are you a current IGCS Member? Yes No, I have submitted an application What is your primary specialty/career interest? Gynecologic Oncology

Pathology

Surgical Oncology

Radiation Oncology

Medical Oncology Other:       Awardees must be “Early Career.” Please select the statement(s) that apply to you: I am currently in training I am no more than five years from fellowship/apprenticeship I am no more than five years from residency I am no more than ten years from medical school graduation Please check the below statements that are true: I am able to attend the 2019 Global Meeting in Rio de Janeiro Sept 19-21, 2019. I am able to attend the 2019 Global Meeting if I do not receive this travel grant. I am able to provide my supplemental travel funds in addition to the award amount of $1,500.00 USD. If I receive the award, I will complete a post-meeting evaluation and write a 300-word report outlining the benefits of attending the IGCS Meeting. ESSAY Please write 300-500 words below outlining the reasons you wish to attend the Global Meeting. Within the essay:  Demonstrate your interest and describe your current clinical activity in the prevention, research, treatment or care of women with gynecologic cancers.  Indicate how women in your country would benefit from you attending the Global Meeting. (Start typing in the shaded area. The box will expand as you type.)      

DEADLINE: MARCH 27, 2019