The Keith Prout Crystallography Fund

Application Form

Please complete the Keith Prout Crystallography Award application form below to apply for funds at least 2 months before the proposed visit. Applications will be considered on a rolling basis. Once you have submitted your application, your research group leader will be contacted for final approval before consideration.

All fields with a red asterisk are required. If a field doesn't apply to you, please write 'N/A' in the space provided.

Applicant Details

Applicant Name *

Email Address *

Phone Number *

Department *

Research Group *

Research Group Leader Email Address *

Applicant's University Status *

Postdoc

Student

Date of PhD approval *

Current year of study *

Purpose of Trip

Conference Name *

Conference Location *

Conference Date/s *

Have you submitted your abstract? *

Yes

Please upload your abstract (.pdf, .doc, .docx accepted) *

More information

Files must be less than 2 MB.
Allowed file types: pdf doc docx.

Statement of Costs

Flight costs *

Train costs *

Accommodation costs *

Conference registration fee *

Other costs (please provide details) *

Where else have you applied for/are planning to apply for additional funding? *

Leave this field blank