Travel Grant Application

Thank you for applying for a Travel Grant from the Vestibular Disorders Association (VeDA). We wish you the best of luck in your endeavors. If you have questions about this application, contact [email protected].

Read This Page Carefully & Complete All Steps

IMPORTANT! After you complete this application, you MUST send an email with supplemental information.

Email these documents to [email protected] using the same email address provided on this form within 72 hours.

Your CV
Presentation or published journal article

Your Information

Name(Required)

Prefix First Middle Last Suffix

Email(Required)

Phone(Required)

Professional/Work number preferred

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Your Project

Organizational Affiliation(Required)

Title of Presentation(Required)

Abstract(Required)

Link to published research paper

Conference Name(Required)

Conference Date(Required)

Conference Location

Be as detailed as possible.

Has your research been approved for presentation?

Yes

Estimated Travel Costs(Required)

$ USD

Other sources of funding (Name/Amount)(Required)

If none, enter "N/A"

Agree & Apply

Do you agree to acknowledge VeDA as a sponsor?

Yes

Do you grant VeDA permission to promote your work?

Yes

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