Student Professional Papers and Conferences - Provost Funding Application

(*) denotes required information.

* Department/Program:

* First Name:

* Last Name (All caps):

* Student Email:

* Student Campus Mailbox:

* Student ID #:

* Student Home Address:

* Expected Graduation Month: 01 02 03 04 05 06 07 08 09 10 11 12 Year: 2018 2019 2020 2021 2022 2023 2024

* Faculty Sponsor:

* Faculty Sponsor email:

Conference Information

* Name and Address of Professional Organization Sponsoring the Conference:

* Organization's Web Address:

* Date(s) of Attendance:

* Location of Conference:

* Form of participation - please check one and provide the relevant information: Poster presentation Paper presentation Other

If other, please explain.
(200 word limit):

Project Information

* Project Title:

* Brief description of the project
(200 word limit):

Conference Budget

* Total amount requested ($600 max.):

Given your best estimation, please provide the following as it applies to your conference participation. Please provide dollar amount and description.

Conference registration fee:

Travel/Transportation:

Lodging:

Other:

Explain if other
(200 word limit):

* I understand that I am eligible to receive funding for only one conference per fiscal year (June 1 – May 31).

* I understand that should I be awarded funding, I will be required to submit a 250 word summary of the research and results for this project no later than the last class day of the semester in which I complete the project.

* Have you received notification that your presentation has been accepted?
Yes No

If no, when do you expect to receive notification?