AY22-23 Scholarship and Stipend Application

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Global Health Funding Opportunities Application

Application for International Medical Education Program (IMEP) Travel Stipends

Background

IMEP Global Health travel stipends are provided by the School of Medicine to support students who participated in international travel during the 2023-2024 academic year. Funds can be retrospective for travel already completed between July 1, 2023 - June 30, 2024.  Note: MS1 PCGH Pathway students are not eligible for this stipend.

Interested students should complete the application by Friday, March 1, 2024.

Information to be completed by IMEP travel applicant

Name (last name, first name) *

UMass Chan Email Address *

Year of Graduation

Are you currently enrolled in the Global Health Pathway?

For which travel award are you applying?

Where did you travel during 2020-2021 or 2021-2022 and who is your UMass Chan faculty mentor?

Where did you travel during 2022-2023 and who is your UMass Chan faculty mentor (who approved the travel and signed your GHER)?

Provide a brief description of your project and objectives during your trip. (500 word limit)

Do you have any expected or completed deliverables from your project (i.e. poster presentation, publication, etc)?

Provide an approximate budget or bulleted list of incurred expenses during your trip.

Provide an approximate budget or bulleted list of incurred expenses during your trip. Please include line items and a TOTAL amount.

Updated FEB 9 2024 | cjb

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11.21.2024 | cjb