Dates of Travel/Experience - approximate dates are OK
Start Date
End Date
Do you need to travel to participate in this experience?
Yes, and my travel is within the US
Yes, and my travel is outside the US
No
What state will you travel to?
What country will you travel to?
Please provide the name of the professional development opportunity for which you are applying.
Please write a statement (500 words max) that describes how you will gain skills or expand your professional network by participating in this opportunity. Your answer should address the following questions:
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What are your larger career goals after graduation/completing postdoc training, and how will this opportunity help you achieve these goals?
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What skills or knowledge do you hope to gain that you wouldn't be able to get at UCSB?
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How is this experience beyond the scope of your research program and support from your advisor/PI/research group?
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If applying as a group/team please also reference the group motivation and how the group/team will benefit from all members participating.
Please write a brief statement (2-3 sentences) that describes your interest in this opportunity, and how it will benefit your career exploration or preparation.
If I receive this grant, I acknowledge that I will submit an experience summary (300 words or fewer).
If I receive this grant, I acknowledge that I will submit an experience summary (150 words or fewer).
I agree to the above statement
Please provide an estimated budget for your proposed opportunity in the questions below. If a particular expense is not applicable, or you are not sure of an expense at this time, simply put N/A in that field. We will follow up with you if needed. Note: A maximum of $150 or $1,200 depending on what you indicated at the top of this application will be awarded from the IPS program.
Travel and Transportation (airfare, mileage, etc.)
Lodging
Registration Fees
Meals/Food
Total Anticipated Cost of the Experience
Total Requested from IPS
Please describe (150 words max) any additional funding you have sought out, applied for, or been awarded for this opportunity (e.g., conference or professional society scholarships, lab or advisor funds, outside grants or fellowships). If you have not pursued any additional funding, please say so.
The following information is used for aggregate reporting only. The selection committee does not have access to this data until the selection process is complete.
What is your gender identity?
Woman
Man
Decline to state
Are you of Hispanic/Latino origin?
Yes
No
Unknown
Decline to state
Which of the following best describes your ancestry? You may hover over each term for a definition. Select all that apply. For example, if you
are of Hispanic/Latino origin, you may be a mix of American Indian/Alaska Native as well as Caucasian ancestry. If you are
not of Hispanic/Latino origin, you may still be a mix of American Indian/Alaska Native as well as Caucasian ancestry. You may select "Unknown" if your ancestry is unknown to you.
American Indian/Alaska Native
Includes all indigenous people of North, Central, and South America
Asian
Includes all indigenous people of East Asia, Southeast Asia, and the Indian subcontinent
Black
Includes all indigenous people of Africa
Hawaiian/Pacific Islander
Includes all indigenous people of Pacific Islands, inculding Hawaii, Guam, Fiji, Philippines, Tonga, and Samoa
Caucasian
Includes all indigenous people of Europe and Middle Eastern countries, including Spain, Italy, and Portugal
Unknown
Your ancestry is unknown to you
Decline to state
Are you the first generation in your family to earn a bachelor's degree?
Yes
No
Unknown
Decline to state
What is your status with the US Armed Forces?
I have previously/currently served
I have never served
I have never served, but at least one of my parents has/does
Neither myself nor my parents have ever served
Decline to state
Do you have any disabilities, defined as a physical or mental impairment that substantially limits one or more major life activities?
Yes
No
Decline to state