Open Access Publishing Support Fund Application

* = Required Fields

Contact Information

Full Name *

Please Select all That Apply *

ID Number

Title

Department/Division *

Department Address

Department Contact (Business Officer)

Email Address *

Article Information

Article Title *

Journal Title *

Journals homepage URL

Date Article was Accepted *

Estimated Date of Publication *

Amount of Grant Requested (up to $1,500)*

Where are you getting funding to pay the balance of your submission fee?
(Check all that apply.)
*

Provide a brief statement describing your need for support for this reimbursement of the author submission fee *

How did you hear about the Open Access Publishing Support Fund? *

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