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The American Epilepsy Society promotes research and education for professionals dedicated to the prevention, treatment and cure of epilepsy.

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The Grass-AES Young Investigator Travel Award

Please fill in the form below:

Name of Applicant:

Degree:

Degree Award Year:

Years from Postgraduate Training:

AES Abstract Authors and Title:

Name of Mentor/Trainer:

Contact for Mentor/Trainer:

Abstract Number (if available):