Research Publication Award Application

Students are required to ensure that the chosen journal is reputable and not a predatory publisher. Journals should be indexed publications and, preferably, listed on PubMed. If not, students should include justification for the journal they have chosen. The maximum award is up to $2000 per student per year during their medical school career, depending on the availability of funds. Funds are awarded on a first-come, first-serve basis.

Please email a copy of your manuscript to [email protected].

Today's Date

Applicant Information

First Name

Last Name

Email

Phone Number

Year In Medical School

Mentor Information

Mentor's First Name

Mentor's Last Name

Mentor's Email

Mentor's Phone

Specialty, department or field

Academic Rank

Submit a copy of the manuscript to [email protected]. Check when complete

Research Project Description

Project Title

Project Funding Source

Describe alternate sources of funding that you've applied for

Publication

Has your paper been accepted for publishing? Yes No Pending

Order of Authors

Article Title

Article Type (ex. Technical note, research article, etc.)

Journal Name

Journal Webpage Link

Is this published/submitted elsewhere?

Publication Cost

Date Payment is Due

Comments

How does this publication benefit the Sanford School of Medicine?

What is your role in the project?

What is your role in the publication?

Has this project received any funding support and/or publication funding support?

Is this an open-access journal?

If yes, please explain the reasoning behind choosing open access

When publishing articles you always want to acknowledge funding sources, will you acknowledge The Academy of Medical Student Scholars at SSOM as a funding source (Yes or No)

Confirmation and Agreement

Confirmation

By checking this box, I confirm that I have discussed this publication submission with my mentor(s) and have their support.

Research Publication Award Application

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