Bursary Price: Free First Name:* First Name Required Last Name:* Last Name Required Title (Mr, Ms, Dr, etc):* Title (Mr, Ms, Dr, etc) is Required Entry date: Entry date is not valid Home Address 1:* Home Address 1 is Required Home Address 2: Home Address 2 is not valid Home Address 3: Home Address 3 is not valid Home Address 4:* Home Address 4 is Required Home Address Postcode:* Home Address Postcode is Required Home Address Country:* Home Address Country is Required Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegowina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo 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Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela Vietnam Virgin Islands (British) Virgin Islands (U.S.) Wallis and Futuna Islands Western Sahara Yemen Yugoslavia Zambia Zimbabwe South Sudan Address line 1:* Address line 1 is Required Address line 2: Address line 2 is not valid Address line 3: Address line 3 is not valid Postal address 1:* Postal address 1 is Required Postal address 2: Postal address 2 is not valid Town/City:* Town/City is Required Country:* Country is Required Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegowina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, the Democratic Republic of the Cook Islands Costa Rica Cote d'Ivoire Croatia (Hrvatska) Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France France Metropolitan French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard and Mc Donald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran (Islamic Republic of) Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea, Democratic People's Republic of Korea, Republic of Kuwait Kyrgyzstan Lao, People's Democratic Republic Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of Moldova, Republic of Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Seychelles Sierra Leone Singapore Slovakia (Slovak Republic) Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands Spain Sri Lanka St. Helena St. Pierre and Miquelon Sudan Suriname Svalbard and Jan Mayen Islands Swaziland Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania, United Republic of Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela Vietnam Virgin Islands (British) Virgin Islands (U.S.) Wallis and Futuna Islands Western Sahara Yemen Yugoslavia Zambia Zimbabwe South Sudan Phone Number: Phone Number is not valid Job title / Current position (if applicable) / former post if retired and please state 'Retired':* Job title / Current position (if applicable) / former post if retired and please state 'Retired' is Required Please summarise briefly your relevant academic/professional experience or qualifications:* Please summarise briefly your relevant academic/professional experience or qualifications is Required Research area: Research area is not valid Bio (minimum 3 - 4 sentences outlining your background with relation to addiction):* Bio (minimum 3 - 4 sentences outlining your background with relation to addiction) is Required Alternate e-mail: Alternate e-mail is not valid Birthday: Birthday is not valid SSA Associate number: SSA Associate number is not valid Addiction journal format:* Addiction journal format is Required Select a value Both Online Hardcopy No copy required Addiction Biology journal format:* Addiction Biology journal format is Required Select a value Online No copy required Current course of study:* Current course of study is Required Current year of study:* Current year of study is Required Expected year of completion:* Expected year of completion is Required Institution name:* Institution name is Required Where did you hear about the SSA?:* Where did you hear about the SSA? is Required Employer/Organisation:* Employer/Organisation is Required Occupation: Occupation is not valid MBR Title: MBR Title is not valid MBR Leader name: MBR Leader name is not 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I am happy to receive email communications from the SSA Course confirmation letter:* Course confirmation letter is Required No file has been uploaded for this field. County/state: County/state is not valid Declaration:* Declaration is Required As a member of the Society for the Study of Addiction, I will uphold the aims of the Society and undertake not to bring the Society into disrepute Applicant type:* Applicant type is Required Retired - Applicable for those who have previously been a member of the Society and are now retired from their substantive post Unwaged - For those with no regular means of income, including from self employment or private work. Does not apply to addiction professionals undertaking a sabbatical, career-break or similar Early-career professional. For former SSA Student Associates, concluding their studies in the past five years. Concessionary membership is available and valid up to the end of the calendar year five years after the official conclusion of your relevant academic studies Please upload a copy of correspondence from your university, dated in your final year, confirming the end date of your studies.: Please upload a copy of correspondence from your university, dated in your final year, confirming the end date of your studies. is not valid No file has been uploaded for this field. Username:* Invalid Username Email:* Invalid Email Email confirmation:* Invalid Email Password:* Invalid Password Password Confirmation:* Password Confirmation Doesn't Match Password Strength Password must be "Medium" or stronger I have read and agree to the Terms Of Service* This site collects names, emails and other user information. I consent to the terms set forth in the Privacy Policy. Please fix the errors above