GS Application for Graduate Student Travel Award Header Image

Travel Award Form

Student Information

Student Name*
Program*
Presenting a Poster or Short Talk?*
Is this application for Special Merit Award*
From Date
To Date
Location

For a Meeting

Nature of Presentation:
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co-signed by you and your Thesis Advisor explaining how this course will contribute to your Program of Study

For a Course

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Attach only one file
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co-signed by you and your Thesis Advisor explaining how this course will contribute to your Program of Study

Anticipated Cost of this Trip

$
$
$
$
$
$

Please Note:


Each student is eligible for Travel Award consideration once per academic year. Awards range from $200 to a maximum of $600. There are four deadlines for Application Submissions. Consult the student-Faculty Handbook for complete details.


Please submit any supportive comments that you think will assist the Committee in its decision.


$

Student Agreement

I understand that if I begin a Scholarly Year program without having obtained prior written approval that my status can automatically be converted to an administrative leave.

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Thesis Advisor Name
MTA Co-Director Name*

Thesis Advisor Approval

Thesis Advisor Approval*
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MTA Co-Director Approval

MTA Co-Director Approval*
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For Office Use Only

​Recommendation of the Travel Award Committee/Dean:
$