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AUSTRALIAN SOCIETY OF EXPLORATION GEOPHYSICISTS
ACT Branch Student Conference Travel Award
Applications Close 15th April 2015.
Scholarship 2 Student registration fee plus pre-approved travel costs to a maximum value of
$2000 awarded to a student studying geophysics or a geophysics-related discipline using
geophysical data or concepts in a major project to attend an ASEG conference.
Conditions:
1. Must be currently studying geophysics or a geophysics-related discipline using
geophysical data or concepts in a major project at a Canberra based University
2. must be presenting a talk or poster at the conference
3. must currently be or apply to be a student member of the ASEG (free for students)
4. must repeat the presentation at an ACT Branch meeting and submit an article to an ASEG
publication (Exploration Geophysics or Preview)
5. willingness to promote the ASEG to other students in the ACT
6. must not have been awarded an ASEG travel award for the same course in the past 2 years.
The award will be judged on the selection criteria as outlined above merit by a panel consisting of
selected ASEG ACT branch members.
APPLICATION FORM (to be completed by student applying for award)
Return the completed signed application form to ACTSecretary@ASEG.org.au or
M. Crowe ASEG ACT Branch Secretary c/- Geoscience Australia GPO BOX 378
Canberra ACT 2601. Applications will be assessed early June with notification of
the successful applicant no later than April 30th 2015.
Year in which scholarship will be awarded
Name of your University Supervisor
Name of Applicant (Student)
Institution
Department
Research classification (place X)
Current Level of Study (place X)
Minerals
Oil/Gas
Undergraduate
BSc(Hons)
MSc
Other
PhD
Commencement Year for your
Current Degree
1. Study Outline (In less than 100 words provide information about your study. Include; subject details
and Thesis title- if applicable, undergraduate details – if applicable.
2. Is the study you are undertaking a part of a Commercial Development
3. Are you currently a student member of the ASEG
Or have you submitted your student member application form
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YES
YES
YES
NO
NO
NO
4. Application (In no more than 100 words, summarise your presentation or poster content. Include/ attach ASEG
Expression of Interest presentation lodgement number or screen capture)
5. If your study/project involves International Collaboration please fill in the table below.
Surname, title and first name
Institution
Country
6. Have you received an ASEG scholarship/grant before
YES NO
If yes, provide details (include year and title)
___________________________________________________________________
7. Have you been published in PREVIEW
YES NO
If yes, provide the title and publication year
________________________________________________________________
8. Student Details
Note: you do not need to provide proof of identification for an application to be made, however if
this application is successful funds will be subject to an identification process including viewing
of a suitable form of ID and correspondence from your nominated supervisor.
Title:
First name:
Second name:
Department/school:
Institution:
Academic Achievements:
Telephone: (include area codes)
E-mail address:
Sex (optional):
Date of birth (optional): (dd/mm/yyyy)
Highest academic qualification type:
Degree Awarded date
Institution
Country
9. Please include/attach short CV including education, professional accomplishments,
publications, awards, conferences, research interests and other related professional skills (12 pages).
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10. Details of your University Supervisor (If your submission is successful your supervisor will
be contacted to confirm your submission details are accurate)
Title:
Full Name:
Department/school/other:
Institution/organisation:
Postal address1:
City/town:
State: (abbreviated)
Postcode:
Telephone: (area codes)
E-mail address:
Position currently held:
DECLARATION
By signing this application form you are agreeing to prepare and present a presentation on
your research at the next ASEG conference (Adelaide August 2016). Information provided
in your application for the ASEG student conference travel award may be disclosed to other
ASEG members to validate the awardee’s credentials.
I declare that the details I have provided on this application are accurate
_________________
Full Name
_________________________
Signature
_______________
Date
Return the completed signed application form to ACTSecretary@ASEG.org.au or
M. Crowe ACT Branch Secretary c/- Geoscience Australia GPO BOX 378 Canberra ACT 2601
Applications Close 15th April 2015.
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