APPLICATION FOR WAGENAAR MEMORIAL TRAVEL SCHOLARSHIP Attachments: In addition to the information on this form, please attach a copy of your curriculum vitae (in Word, .rtf, or .pdf).Please submit applications via e-mail as attachments in Word, .rtf, or .pdf format to treasurer@eadm.eu, with the subject "Wagenaar Application".Applicant's Name * Required Home Institution * Required Address * Required Email * Required PhoneCurrent position * Required Are you a member (or student member) of EADM ? Yes No Indicate your academic status: * Required master or doctoral student less than 4 years after completed doctoral degree more than 4 years after completed doctoral degree Nature of proposed scholarly activity at SPUDM 2015 (brief description, max ½ page) * RequiredPlease provide an estimated budget for the major expenses associated with the proposed activity, and indicate the source(s) and amount(s) of financial support anticipated from other sources.