2023 SOT Diversity Initiatives Career Development Award Application

Details about the award are found in the SOT Diversity Initiatives Career Development Award description. Please complete this form, including uploading a) a CV (up to 3 pages) and b) academic transcripts, including current semester enrollment; graduate students submit graduate transcripts only.

We encourage you to draft the responses in a file for your records and to copy and paste the responses here. A list of the information required is in this file.

Your advisor must send a letter of reference to SOT Staff by 11:59 pm on April 15, 2023.

All materials must be entered by 11:59 PM EDT April 15, 2023.

Questions? Contact SOT staff

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* 1. Contact information

First Name

Middle Name

Last Name

Academic Institution

Major/Program of Study

Degree(s) Earned

Degree in Progress

Cumulative GPA

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* 2. Indicate current academic status

Graduate Student

Undergraduate Student

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* 3. Expected month/year (format 00/0000) for completion of degree in progress

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* 4. Affiliation with SOT

Undergraduate Student Affiliate

Graduate Student Member

Application pending

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* 5. Current residence

Address 1 *

Address 2

City/Town *

State/Province *

ZIP/Postal Code

Email Address *

Cell Phone Number *

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* 6. Alternate phone

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* 7. Alternate email address

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* 8. Permanent residence (home address)

Address 1 *

Address 2

City/Town *

State/Province *

ZIP/Postal Code

Country

Alternate email

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* 9. Advisor Information

Advisor Name

Advisor Institution

Advisor Phone

Advisor Email

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* 10. Ethnic/Racial Background (check all that apply)

Black/African American

Hispanic/Latinx

Asian/Asian American

Native American, including Alaskan and Pacific Islander

White

Other (please specify)

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* 11. Gender

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* 12. Preferred Pronouns

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* 13. Proposed Activity Details

Proposed Activity Name

Sponsor for Activity

Location

Dates

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* 14. Description of activity/event for which funding is requested, including program URL if available.

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* 15. If the proposed activity is training organized directly with a host, please also attach a letter from the host confirming arrangements for the training.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

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* 16. In the space below, provide an itemized budget of projected expenses.Example: Flight Cost (Roundtrip Tampa to Washington), $450

Travel Detail

Travel Amount

Registration Detail

Registration Amount

Lodging Detail

Lodging Amount

Per Diem Detail

Per Diem Amount

Research Equipment Detail

Research Equipment Amount

Other: Details

Other: Amounts

Total Amount

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* 17. If projected expenses exceed $1000, what is the source for the additional funding?

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* 18. If applicable, upload documentation you might have of additional support to cover the total expenses for the activity for which you are applying.

PDF, DOC, DOCX, JPG, JPEG, GIF file types only.

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* 19. Upload your curriculum vitae (up to 3 pages)

Please upload this file labeled as [YourLastName] CV.pdf.

PDF, DOC, DOCX file types only.

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* 20. Enter a written statement (maximum 250 words) that explains:

Why the activity proposed meets an unmet need in your training.

How this would be beneficial to the attainment of your education or career goals.

Why this type of training is not available at your institution or part of your current program.

Other professional development activities in which you have participated.

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* 21. List any funding or support you have previously received from SOT. This could be a travel award (e.g., Undergraduate Diversity Program or graduate student travel awards), selection to participate in another SOT activity, etc. Enter "not applicable" if none.

Please note that having previous support does not qualify or disqualify you for this award; rather this provides SOT with additional information about student involvement in SOT.

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* 22. Upload one pdf of your transcript(s), including evidence of current semester enrollment. Graduate students upload graduate school transcripts (only). The unofficial version is accepted. Make sure that the name of the institution is on the transcript.

Please upload this file labeled as [YourLastName] Transcript.pdf.

PDF, DOC, DOCX, JPG, JPEG, GIF file types only.

Choose File

In submitting this application, I consent to the inclusion of my information in aggregate data used by SOT to describe the applicant pool. Other than access by the reviewers during the selection process, SOT will not release individual information. The exception is that names, affiliations, and activity descriptions will be released for those who receive funding. I also agree that SOT can send me information in the future that might be relevant to me.