"Climate Fast Forward" Conference Travel Scholarship Application

Travel scholarships will be awarded to conference attendees traveling from outside of Dane County who would likely be unable to attend the summit without this support. A limited number of scholarships will be awarded on a first-come, first-served basis to reimburse vehicle mileage, public transit, or vehicle rental. Travel scholarships are made available through the generous support of our Conference Investors. To apply, please fill out this Travel Scholarship form. Applicants will be contacted within a week of submitting this application form. Reimbursements will be processed and mailed within 7 business days of the summit. Please contact Chelsea Chandler for more information.

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* 1. Name

First

Last

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* 2. Email address

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* 3. Mailing address

Street address

City

State

Zip

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* 4. Organization name

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* 5. Please check both boxes to confirm eligibility:

I will register for the conference by November 4 and will attend the full day.

I am traveling from outside of Dane County and would likely be unable to attend the summit without this travel scholarship.

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* 6. I will use this reimbursement for:

Vehicle mileage (to be reimbursed at GSA rate of $.58/mile) [Please estimate round-trip mileage (miles) below.]

Public transit [Please estimate round-trip ticket amount ($) below.]

Vehicle rental [Please estimate rental amount ($) below.]

Estimated mileage or $ amount