2012 Annual CIRMS Conference at NIST
Oct. 22-25
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Student Travel Grant Application

Essay Reports are to be submitted as a word document form attached along with your faculty advisors form completed to the online grant application form.

2012 Student Travel Grant Applicant Information:
First Name: Last Name:
Address: City:
State: Zip Code:
Country: Email:
Phone: Fax:
Institution: Program:
Collaborator 1: Collaborator 2:
Degree being sought (MS or PhD):
Anticipated completion date:
Faculty advisor:
Advisor’s phone:
Advisor's email:
Presentation Title:
Area of relevance to CIRMS and its areas of interest (check only one):
Medical Applications
Nuclear medicine Radiation therapy Diagnostic radiology
Personnel Radiation Protection
Low dose-rate metrology Occupational radiation exposure
Environmental Radiation Issues
Environmental radiation exposure (radon, space)
Ground and water radionuclide remediation and standards
Homeland Security
Emergency response to radiation incidents Radionuclide detection
Cargo inspection and individual screening
Industrial Applications and Materials Effects
Nuclear power containment vessel durability Food irradiation
Radiation hardening in mixed field’s Medical device sterilization
Commercial product manufacture(polymers, composites, coatings)
Computational Modeling
Development and use of Monte Carlo codes
Dose mapping and modeling
Attachments
Attach Your Essay (Word doc only!)
Attach your signed Faculty Advisor Form (pdf)