Student Travel Fund: Type I funding
Travel to a scientific meeting or conference
Eligibility Guidelines:
Application Procedure:
*applications are often submitted before this documentation is available. Awards can be given PENDING receipt of all supporting documents prior to travel.
Reimbursement Procedure:
STUDENT TRAVEL FUND TYPE I APPLICATION FORM
Name:________________________________________________________________________________
Division: _________________________ Degree sought :_______________________
RSMAS matriculation date:__________________ Anticipated graduation date:___________________
Phone: Campus:_______________________ Home:______________________________
E-mail address:_______________________________
Meeting Information
Name:________________________________________________________________________________
Location:__________________________________ International ( ) yes ( ) no
Dates of Meeting:_________________________ Dates you will attend:_________________________
Title of abstract submitted for the meeting specified above:_______________________________________ _____________________________________________________________________________________
Has this research been conducted while you were a student at RSMAS ( ) yes ( ) no
Is this research an integral part of your thesis/dissertation? ( ) yes ( ) no
Budget (please specify details to the right of each blank below)
Registration fee $__________
Transportation $__________ Mode of Transportation :_____________________
Hotel $__________
Other (explain) $__________
Total $__________ = 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 )
Funding History
Have you received support from the MSGSO Student Travel Fund before? ( ) yes ( ) no
If yes, when and how much ? Dates: _______________________ Amounts: $______________________
The following supporting documents are required as part of this application. Please circle those that are not being submitted with this application at this time and an approximate date as to when they can be expected. It is your responsibility to submit the missing documents BEFORE you leave for your meeting. (Submit late supporting documents to Matt Buoniconti, MGG: mailbox 3rd floor N. Gros.):
1) Abstract submitted for meeting Date: __________
2) Documentation of abstract acceptance Date: __________
3) Signed Faculty Co-author or PI affidavit 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 the efforts of 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
present our work at the meeting listed on the included application.
The total amount I can contribute is $____________________.
______________________________
signature
______________________________
Printed name