Bursary - SSA

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 not valid

Home Address Postcode:* Home Address Postcode is Required

Home Address Country:* Home Address Country is Required

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

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

Addiction Biology journal format:* Addiction Biology journal format is 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 valid

MBR Leader e-mail: MBR Leader e-mail is not valid

MBR Bursary ID: MBR Bursary ID is not valid

MBR Course OK

Employer: Employer is not valid

CV Upload: CV Upload is not valid

No file has been uploaded for this field.

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

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