URCS PRESENTATION (TRAVEL) AWARD STUDENT APPLICATION

STUDENT NAME *

STUDENT ID *

STUDENT EMAIL *

FACULTY SPONSOR *

MAJOR(S) *

GPA *

CURRENT CLASS STATUS *

TITLE OF PROJECT *

NAME OF EVENT *

DATE OF EVENT * +

LOCATION OF EVENT (city,state) *

WHAT FORMAT IS YOUR PRESENTATION IN? (paper, poster, art) *

PLEASE DESCRIBE THE EVENT (regional, national, international; professional, academic, or undergraduate; etc.) *

BRIEFLY DESCRIBE YOUR PROJECT. (Attach any supporting documents below) *

Attach supporting documents here

The maximum award is $500.00. How much are you requesting? *

Please list a detailed budget of expected expenses (include transportation costs, registration fees, housing costs, meal costs, etc) *