Student Conference Grant Application

Student Conference Grant

First Name

Last Name

Phone

Status

Undergraduate

Graduate Student

Department/Major

Name of Conference

Conference Location and Date

Title of your presentation

Did the research involve utilizing human subjects or animals and therefore IRB/IACUC approval?

Yes

If Yes, please provide a copy of your IRB/IACUC approval letter.

If yes, provide the approval letter here or email it to the Associate Academic Vice President (PDF required).

One file only.
100 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.

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Was this research conducted as part of a class or independent study? If so, list the class name and course code here (e.g., "History on Film"; HS 333-1).

Amount Requested (up to $250)

Conference Registration Form (PDF required)

Attach a copy of the completed registration form here or send a copy to the Associate Academic Vice President.
One file only.
100 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.

A copy of your application will be sent to your faculty sponsor.

Faculty Email

Letter of Support

Yes

I have arranged to have a supporting letter from my faculty sponsor sent to the Associate Academic Vice President.

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Faculty Research and Recognition

Student Conference Grant Application

Student Conference Grant

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