Student Travel Funds Application

This funding is for student travel to present student research at a meeting off campus. The request may not exceed $700 per student or $1,400 for groups of two or more. Presentations by two or more students for the same presentation can be submitted on one form. Faculty accompanying students may request travel funds at http://www.wartburg.edu/forms/ftravel_app.aspx.

Funding is tentative and contingent upon acceptance of the abstract for presentation at the meeting/conference and proof of HARRC approval if the study requires such approval (http://www.wartburg.edu/harrc/). In order to receive confirmed funding, please e-mail a copy of the acceptance letter/email to roy.ventullo@wartburg.edu.

One of your faculty sponsors must send an e-mail supporting the application.


Lead Student Name *
Prefix
First *
Last *
Suffix
Today's Date *

MM 		/
DD 		/
YYYY
Lead Student Email *
Sponsor Emails (Place comma between each address.)
Other Student Researcher Emails (Place comma between each address.)
Name of Conference *
Title of Presentation *
Conference End Date *

MM 		/
DD 		/
YYYY
Conference Start Date *

MM 		/
DD 		/
YYYY
List all Authors *
Travel Dates (Month/Year)
Location (City/State)
Copy and paste the abstract of your presentation below.
ITEM
COST
DESCRIPTION
TOTAL
Hotel/Room

Wherever possible use actual costs. You can be reimbursed mileage if you drive. You must use the College travel agent for all air travel and hotels/motel arrangements.
Registration
Mileage
Airfare
Meals
Other Travel Expenses
   
Subtotal
   
TOTAL