Student Travel Fund: Type III funding
Necessary degree related travel
(*check MSGSO web-site for availability*)
Eligibility Guidelines:
Application Procedure:
Reimbursement Procedure:
STUDENT TRAVEL FUND: TYPE III APPLICATION FORM
Name: _____________________________________ Division:____________________
RSMAS Matriculation Date:____________________ Degree Sought:_______________
Anticipated Graduation Date:____________________ Phone #: ____________________
email address:________________ Principal Advisor: ____________________
Advisor's office and phone: _____________________
TRAVEL INFORMATION
:Location :___________________________________ International ( ) yes ( ) no
Dates of Travel: ______________________________
Will this travel be conducted while you are a student at RSMAS ( ) yes ( ) no
Is this travel an integral part of your thesis/dissertation/internship/program? ( ) yes ( ) no
STUDENT'S STATEMENT OF PURPOSE
:Please include a statement of the purpose for your travel and relevance to the completion of your degree.
BUDGET
Please include a complete budget (attach to application) for the work that will be completed during travel. This may include transportation, lodging, and other costs which are subject to approval.
Total Budget: $ = A
NON-STUDENT TRAVEL FUND SUPPORT
a) Are you presently supported by a grant ( ) yes ( ) no
b) Does this grant have money available for travel ( ) yes ( ) no
c) If so, how much is available for this trip $ =B
Do you have other sources of travel money ( excluding personal funds) for this trip? ( ) yes ( ) no
If ‘yes’, how much ? $ =C
Total non-Student travel fund support: $ (B + C) =D
Amount you are requesting from the Student travel fund: $ ( A -D or the maximum allowed)
FACULTY MEMBER'S STATEMENT OF ENDORSEMENT
:Please include a statement of endorsement from your faculty advisor.
FUNDING HISTORY
Have you received support from the MSGSO STF before ( ) yes ( ) no
If yes, when and how much ? Date : Amount : $__________
SUPPORTING DOCUMENTS
The following supporting documents are required as part of this application, please circle those that are not being submitted with this application and an approximate date as to when they can be expected. (Send late supporting documents directly to Matt Buoniconti, MGG, mailbox 3rd floor N. Gros.):
3) Statement of endorsement by faculty advisor Date:
Applicant’s signature : Date :____________________________
Major Professor’s signature : Date :____________________________
All blanks on this form must be filled completely and truthfully.
**Student Travel Funds are made possible in part by MSGSO
PLEASE CONSIDER DONATING YOUR TIME**
MSGSO STUDENT TRAVEL FUND COMMITTEE
Faculty / Co-Author Affidavit
a) Is your student presently supported by a grant? ( ) yes ( ) no
b) Does this grant have money available for travel? ( ) yes ( ) no
c) If so , how much is available for this trip? $__________
I am/ am not able to contribute to the travel cost of $____________________ to
complete our work specified above. The reason that I am unable to fund the costs associated with this work is as follows:
The total amount I can contribute is $____________________.
______________________________
signature
_________________________
date
______________________________
Printed name