South Central Region WOCN

Poster Presentation Award Application

This award encourages and supports individual work that is not subsidized by industry or commercial sources. An annual award of $250 each will be presented to two SCR members in good standing who present posters at the National WOCN conference. If there is only one qualified applicant, $500 will be awarded to the applicant.

Please provide the following contact information:

First Name
Last Name
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Work Phone
Home Phone
E-mail

Enter your WOCN Membership Number in the space below:

Title of Project:


Please list any sources of funding or assistance you have received in

developing this poster:


Brief biological sketch of the primary author:

After submitting form please mail or e-mail a copy of poster acceptance from WOCN, and a copy of the poster abstract to:

Tabatha Schroeder
8611 Aggie Ln., Needville, TX 77461
Cell: 832-344-7556
tabatha.schroeder@molnlycke.com