Details about the award are found in the SOT Undergraduate Diversity Program Student Travel Award description. Please complete this form, including uploading transcripts of all undergraduate institutions attended in year order (including current semester course enrollment). 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 in the application is in this file.

After submission of your application, SOT staff will send a Nomination Form link to your advisor. Your advisor must complete a nomination form for your application to be considered complete. The advisor nomination form is due by October 20, 2021. A list of the information required in the advisor nomination form is in this template; please send this template to your advisor in advance.

All application materials must be completed and submitted by 11:59 PM EDT October 15, 2021.

Questions? Contact Shalimar Juan, CDI Staff Liaison.

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* 1. Contact information

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* 2. Your expected graduation date (MM/DD/YYYY)

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* 3. Citizenship

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* 4. Current Residence

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* 5. Alternate Email Address

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* 6. Permanent residence (home address)

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* 7. Person at permanent address who always can provide your contact information.

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* 8. Did either of your parents graduate from a 4-year college or university?

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* 9. Have you ever received a Pell grant as part of a financial aid package?

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

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* 11. Gender

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* 12. Preferred Pronouns to Use

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* 13. An underserved individual comes from 1) a social, cultural, or educational environment that has demonstrably and directly inhibited the individual from obtaining the knowledge and abilities necessary to develop or participate in a research career and/or 2) a family with an annual income below established low-income thresholds for that locale.

Do you meet one of the criteria for underserved?

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* 14. If your answer to the previous question was "yes", please describe:

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* 15. Please enter below a personal statement of no more than 450 words (3000 characters). Suggestions of topics include:
  • What has you excited about science?
  • What challenges have you encountered and had to overcome to be successful as an undergraduate student?
  • What do you think your career path will be?
  • How would attendance at the SOT meeting inform your future directions in science (future coursework, experiences you would pursue, graduate school, etc.)?

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* 16. Upload one pdf containing your transcript(s) from all undergraduate institutions attended, in year order, including your current semester enrollment. The unofficial version is accepted. Make sure that the name of the institution is on each transcript.

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

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* 17. Contact information of the advisor/mentor submitting your letter of recommendation.

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* 18. Does SOT have permission to release your name, institution, and email address to academic programs as a student interested in toxicology?

In submitting this application I consent to the inclusion of my information in aggregate data used by SOT, in compliance with the SOT privacy policy, and agree that SOT may send me information of potential interest. Other than access by reviewers during the selection, the permission for SOT to contact, and distribution of names and emails to academic programs if permission is granted, SOT will not release individual information.
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