Needs-Based Award Application

*I am a:

Post-Doc Graduate Student Trainee Unfunded Faculty This field is required.

*Given/First Name:

*Family/Last Name:

*Institution:

*Department:

*Phone:

*Email:

*City:

State/Province:

*Country:

*Gender:

*Ethnicity:

*Country of Citizenship:

Supervisor/PI Name:

Supervisor/PI Email:

*Number of years in the field:

*Have you attend IHW before?:

Yes No This field is required.

*What is the topic of your Research?:

*Statement of Need (100 words or less):

*Preliminary Abstract (150 words or less):

*Letter of Recommendation (PDF):

Submission Deadline: Friday, March 14, 2025