Travel / Research Funds Award Application
Contact Information
Full Name
Email Address
Academic Information
Home Department or Graduate Group
Degree Sought
Years in Graduate Program
Expected Date of Completion (month/year)
GPA
Award Application Summary
Are you applying for a (an):
Travel Award to present a paper or poster
Research Funds Award
For Travel Award applicants, please complete items A-G below & essay:
A.
Name of Meeting:
B.
Dates:
Location of Meeting:
C.
Amount requested:
D.
Estimated total cost for attending meeting (including lodging, airfare and registration
):
E.
Have you previously received a Travel Award or Research Award this academic year?
Yes
No
F.
If so, for what amount?
G.
Paper Abstract (limit to 1 page, please attach below)
For Research Funds applicants, please complete items 1 – 5 below & essay:
1.
Description of item to be purchased:
2.
Cost of item:
3.
Please describe specifically what the items purchased will be used for:
Have you previously received a Research Award or Travel Award this academic year?
Yes
No
If so, for what amount?
4.
Attach
P.O.
for requested research items (please attach below)
5.
Have faculty mentor send an email approving this request fro research funds.
Essay
Attach a brief essay describing the significance of meeting to future career goals or, if applying for research funds, how the funding will contribute to your research objectives.
Attachments
Attachment 1:
Attachment 2:
Please review application and print a copy for your records before submitting.