Host Institution Application

SNO International Outreach Fellowship

Host Institution Form

Please include our facility in the list of potential host institutions for the Society for Neuro-Oncology’s International Outreach Research Fellowship posted on the SNO website.

I understand that SNO will provide the host institution with a total of $50,000 in salary support and travel expenses for a one-year period. Institutional overhead and indirect costs are not provided with the award.

I understand that our institution is under no obligation to accept the fellow unless we agree to do so upon our review of the fellowship application. In the event our institution decides to host the SNO International Outreach Research Fellow, we agree to mentor the applicant and provide necessary space and supplies for the applicant during the project/study period.

Name:

Institution:

Primary Contact:

Address:

E-mail:

Phone:

Research Categories:

Research Interest/Projects:

Please return this form to the Society for Neuro-Oncology; by fax to 713-526-7787 or e-mail to linda@soc-neuro-onc.org

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