Travel Grant Application

Applicant Information


Are you a student?

If yes,

If you are not a student:

Are you submitting an abstract (priority will be given to applicants submitting an abstract)?

Are you under any contractual or grant support from any government agency?

If yes, what is the agency's name?

Can you use these funds for travel to this conference?

Have you requested any assistance for this conference from your institution?

Are you receiving financial support to attend this conference?

Estimated Travel-Related Expenses in U.S. Dollars
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I certify that all information contained in this statement is true and correct to the best of my knowledge and belief.

Electronic Signature

If you are a student you must complete this section

Advisor's brief statement on why they believe it is particularly beneficial for this student to attend this conference

Is the student in good academic standing and actively engaged in research?