GIW/ISCB Asia 2025 Conference Fellowship Application Form

Name of applicant:*

Email address of applicant:*

Affiliation of applicant:*

Phone number of applicant:

1) ISCB requires that funded applicants attend the full conference. Please confirm that you will be attending the full conference:*
Yes
No

2) Advisor Name

3) Affiliation*

4) City*

5) State/Province (Please do not abbreviate. If this does not apply to you, write 'Not Applicable')*

6) Postal/ZIP Code*

7) Country*

8) Are you an ISCB Member?*
Yes
No

9) If yes, what is your ISCB membership ID

10) Funding amount requested (Be sure to review maximum amounts on Travel Fellowship page)*

11) Do you have additional funding sources to cover the balance of your registration expenses to this conference? I.E. workshops and tutorial fees, travel, etc*
Yes
No

12) Reason for amount requested*
( words remaining)

13) How will you be attending?*
In-Person
Virtually

14) Is this your first time attending a conference*
Yes
No

15) If you are presenting a talk or poster, what is the title of your presentation?

16) If you are presenting a talk or poster, what is your Easychair submission ID?

17) Gender
Man
Non-binary or gender diverse
Woman
Prefer not to disclose

18) Ethnicity
North Africa (e.g., Egypt, Morocco, Sudan)
Sub-Saharan Africa (e.g., Kenya, Nigeria, South Africa)
Central America and Caribbean (e.g., Jamaica, Mexico, Panama)
North America (Canada, United States)
South America (e.g., Brazil, Chile, Colombia)
East and Central Asia (e.g., China, Japan, Uzbekistan)
South and Southeast Asia (e.g., India, Indonesia, Singapore)
West Asia/Middle East (e.g., Iran, Israel, Saudi Arabia)cent (Non-white/Non-Caucasian)
Eastern Europe (e.g., Hungary, Poland, Russia)
Western Europe (e.g., Greece, Sweden, United Kingdom)
Pacific/Oceania (e.g., Australia, Papua New Guinea, Fiji)
Other
Prefer not to disclose

19) Race
Asian or Pacific Islander
Black
Hispanic or Latino/a/x
Indigenous
Middle Eastern or North African
White
Other
Prefer not to disclose

20) Professional/Student Status*
High School Student
Undergraduate Student
Graduate Program Student
PhD Candidate
Post Doctoral Fellow
Academic - Faculty
Academic - Staff & Research
Commercial
Government
Non-Profit
Not Currently Employed

21) Do you have an accessibility needs you would like us to be aware of?

22) Year of earned/expected degree

23) Country of Citizenship*

24) Country of Residence*

25) Please describe how attending the conference will support the advancement of your career*
( words remaining)