Stipend Stipend Application Please note Applications must be completed in English. Deadline for applications is 15 July 2019. For any queries, please email stipend@qesymposium.org Title MsMrsMrDrProf Please tick the box if you are a student Masters studentDoctoral studentOther student (Please specify below) First name Last name Organization and Position City Country ---AfghanistanAngolaAlbaniaArgentinaArmeniaAmerican SamoaAzerbaijanBurundiBeninBurkina FasoBangladeshBulgariaBosnia and HerzegovinaBelarusBelizeBoliviaBrazilBhutanBotswanaCentral African RepublicChinaCote d'IvoireCameroonCongo, Dem. Rep.Congo, Rep.ColombiaComorosCabo VerdeCosta RicaCubaDjiboutiDominicaDominican RepublicAlgeriaEcuadorEgypt, Arab Rep.EritreaEthiopiaFijiMicronesia, Fed. Sts.GabonGeorgiaGhanaGuineaGambia, TheGuinea-BissauEquatorial GuineaGrenadaGuatemalaGuyanaHondurasHaitiIndonesiaIndiaIran, Islamic Rep.IraqJamaicaJordanKazakhstanKenyaKyrgyz RepublicCambodiaKiribatiLao PDRLebanonLiberiaLibyaSt. LuciaSri LankaLesothoMoroccoMoldovaMadagascarMaldivesMexicoMarshall IslandsNorth MacedoniaMaliMyanmarMontenegroMongoliaMozambiqueMauritaniaMauritiusMalawiMalaysiaNamibiaNigerNigeriaNicaraguaNepalNauruPakistanPeruPhilippinesPapua New GuineaKorea, Dem. People's Rep.ParaguayWest Bank and GazaRomaniaRussian FederationRwandaSudanSenegalSolomon IslandsSierra LeoneEl SalvadorSomaliaSerbiaSouth SudanSao Tome and PrincipeSurinameEswatiniSyrian Arab RepublicChadTogoThailandTajikistanTurkmenistanTimor-LesteTongaTunisiaTurkeyTuvaluTanzaniaUgandaUkraineUzbekistanSt. Vincent and the GrenadinesVenezuela, RBVietnamVanuatuSamoaKosovoYemen, Rep.South AfricaZambiaZimbabwe Email address Sector ---Agriculture and food securityCrime and justiceEducationEnvironment, including water, sanitation, built environment, climate and ecosystemsGender studiesHealthHuman rights and peaceInternational developmentScience, technology & innovationSocial welfareOther (specify) Do you meet the minimum requirement for this bursary? Are you primarily living and working in a low or middle income country? (Link to list of LMICs) YesNo Are you able to attend the full event (i.e. 9-11 October 2019)? An optional workshop day will be held on 8 October 2019 YesNo Involvement in qualitative research and decision making How have you used or produced qualitative research in the context of decision making? Please provide details and highlight activities you have been involved in. 1400 Remaining Your involvement in the Symposium Have you submitted an abstract or been invited to participate in a specific event or activity? Please provide the following information: Titles of submitted abstracts and your role within the abstract/workshop Titles of submitted abstracts and your role within the abstract/workshop Titles of specific meetings or event and your role within the event List any other activities planned for the conference which may be of benefit to your organisation The Stipend Committee will check the status of your abstract submission(s) when the applications are assessed Symposium involvement 1400 Remaining Benefit to your work and/ or for your institution Outline how your attendance may benefit you or your institution? Anticipated gain to yourself and your institution 1400 Remaining Additional information required All stipend recipients will be required to complete a brief (1 Page) evaluation report of their experience at the Symposium by 30 November 2019 and submit to stipend@qesymposium.org Funding request Please provide an estimated cost in US dollars for attending the Symposium. Indicate for each item the full cost in the first column, and the funding amount you request for this item in the second column. If you need to convert costs in your local currency to US dollars, you should use the online converter: http://www.xe.com/ The hotel and registration fee will be paid directly by the Symposium organisers and you do not need to include this in your funding request Reimbursement of visa, insurance, and local transfer costs will require receipts Full cost in US dollars Amount being requested Flight (cheapest economy airfare) Visa costs Accommodation (max. of 3 nights) Airport transfers Total Departure city Submit Your registration for symposium has been sent successfully. One or more fields have an error. Please check and try again. For full functionality of this site it is necessary to enable JavaScript. Here are the instructions how to enable JavaScript in your web browser.
