International Journal of Women's Dermatology (IJWD) Application for a Publication Grant Applicant/Author Information First Name: Last Name: Email: Are you a current or pending Member of WDS? Yes No Education: Current Dermatology Resident/Fellow Medical/Graduate Student Post Dermatology Resident/Fellow Undergraduate Institution: Expected Year ofGraduation/Board Certification: Article Information Journal Article Type You Are Planning to Submit: Original Research Review Therapeutic Pearls Case Report A Piece of My Mind Please list co-author(s) here (if applicable): Please provide a short summary (150 words max) of your article: I confirm that I would like to receive funding for article submission to the International Journal of Women's Dermatology (IJWD), but understand that not all applicants will receive final funds. Yes No Please note that the review process will take between 2-4 weeks. You will be notified when all funding has been secured and if you have been selected as a recipient to submit for the IJWD. If you have any questions or concerns, please contact the WDS National Office (WDS@womensderm.org).