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* 1. Name:

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* 2. Optional: Please provide the phonetic spelling of the nominee's full name:

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* 3. Degree:

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* 4. Company:

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* 5. Address 1:

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* 6. Address 2:

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* 7. City:

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* 8. State/Province:

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* 9. Country:

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* 10. Email:

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* 11. Enter Name of Nominee:

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* 12. Name of Advisor:

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* 13. Enter Thesis or Research Title:

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* 14. Required Acknowledgement

You can view the SVP Code of Ethics by clicking here

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* 15. Required Acknowledgement

I (or my nominee) have (has) never been found guilty by my employer, my legal system, organizations that I volunteer for, institutions where I have conducted research, or other professional societies of any activity that violates the Society’s Meetings Code of Conduct. If I have incorrectly represented myself (or my nominee) or are found guilty in the future by one of the previously listed entities or SVP, my (nominee’s) award may be revoked at the discretion of the Executive Committee.
BUDGET

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* 16. International Travel Expenses:

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* 17. Living Expenses:

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* 18. Permits:

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* 19. Domestic Travel Expenses:

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* 20. Materials and Supplies

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* 21. Additional Expenses:

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* 22. Less Other Funding Received for Project:

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* 23. Budget Details:

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* 24. Total Budget Requested from SVP (less all other funding sources):

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* 25. Does your project include the use of live animals? 

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* 26. If yes, please upload your institution's approved institutional animal care protocol (e.g., IACUC in the US).

PDF file types only.
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* 27. Please upload a Project Description.

PDF file types only.
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* 28. Please upload a photo. (This is for the SVP Awards Banquet and website, only used if applicant receives award)

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
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* 29. Please upload 300-500 word short bio. (This is for SVP website; only used if applicant receives award)

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
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To qualify for this award, you must have a Letter of Support from your project advisor or major professor including full contact information. Please ask your reference to email your letter of support to SVPawards@vertpaleo.org and to include your name and the SVP award category that you are applying for in the body of the email.

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