| Name: _____________________________________ |
Class of: _________ |
| |
|
| Brief Description of Project/Event: (conference/event,
city, date) |
|
| |
|
| |
|
| |
|
| Attach a 2-3 page description of the
event and the purpose and/or goal of your participation/attendance. If you have submitted a paper for presentation, please include an abstract with the proposal. |
|
| |
|
| |
|
| Cost of Travel: |
|
| |
|
| Airfare: ________________________ |
$_________________ |
| |
|
| Train: _________________________ |
$_________________ |
| |
|
| Car (mileage x .35 - driver only): ___________________ |
$_________________ |
| |
|
| Other (taxi, public transportation): |
$_________________ |
| |
|
| Lodging: (Please indicate if you are staying at the conference hotel.) |
|
| no. of days_______ cost per day_______ |
$_________________ |
| |
|
| Meals: |
|
| no. of days _______ x $30 per diem |
$_________________ |
| |
|
| Other expenses (conf. registration, seminar fees, research
materials. Please describe): |
$_________________ |
| |
|
| |
|
| |
|
| |
|
| TOTAL ESTIMATED EXPENSES |
$ _________________ |
|
|
| TOTAL AMOUNT REQUESTED (maximum
award is $450) |
$ _________________ |
| |