Rollin Fellowship Entry Form

Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Upload your document. Review rules carefully before doing so.*
PDF only
Accepted file types: pdf, Max. file size: 200 MB.
Briefly describe your proposed biography (100 words)*
Agreement*
- In submitting this prize entry form, you agree to all the terms and conditions of the BIO Rollin Fellowship. You also affirm that the work you are submitting is in progress and will not be in production at the time of the annual BIO conference. Only one entry per applicant is allowed. In submitting this entry form, you affirm that you are the sole author (or, if co-authored, authors) of the work being submitted. In the event that you are the winner, you affirm that you will make your best effort to publish your work, and that you will acknowledge the support of BIO’s Rollin Fellowship in any publications resulting from the fellowship. BIO also requires that you submit a brief paragraph reporting on your progress within a year after the fellowship is granted. All decisions by the judges are final.
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