STUDENT GRANT APPLICATION FORM for a TRAVEL GRANT First Name: Last Name: Title: Date of Birth: University/Organization: Country: Email: Student Type (please select): UndergraduatePostgraduate StudentPhD Student Thesis Title (Towards the degree of your current study): SGA Membership No: Are you a member of a SGA Chapter?: YesNo If Yes, which SGA Chapter: Please mark an amount that is needful for you to attend the conference: Registration Fee: YesNo Travel Cost: 100 Eur300-400 Eur500-700 Eur Title of Submitted Abstract Authors: Presentation type requested: OralPoster Please explain why you are requesting funding for this meeting and how your research is aligned with themes of the conference (200 words max):