Fillable Black%2CJohn TravelGrantApplication 1 John Black Travel Grant Application

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Black%2CJohn TravelGrantApplication 1 John Black Travel Grant Application

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Office of Graduate Studies
John BlackGraduateTravelGrant
_______________________ _______________________
_______________________ _______________________
_______________________
Eligibility:
Master’s students with at least an “A-“average in the last 2 years, registered in a Political Science program (POLS/
CCJP), the Capacity Development and Extension program, or the collaborative International Development Studies
program (any department) in class level 1 to 3 at the time of application and who plan to travel to conduct thesis
research, attend a conference, or take a course.
Department
/School:
Degree Program:Student ID:
First Name:
Last Name:
Destination:
____________________ __________________
ReasonforTravel:
ToTravelDates: From
Presenting at a conference – paper accepted Conducting research Attending a conference
Presenting at a conference – decision pending
TitleofResearch:
Inthespaceprovided,brieflydescribetheresearchor course.
Taking a course
Page 1 of 3
John Black GraduateTravelNominationForm
Completethissecti
ononlyiftraveldestinationisoutsideCanada.
Funding applications for travel to destinations for which the Department of Foreign Affairs has a Travel Warning will not
normally be considered. Check their website for an up‐to‐date listing.
CheckAorBbelow.IfcompletingB,all3boxesmustbecheckedandallsignaturesobtained.
A) I have checked the Foreign Affairs website and certify that there are no Travel Warnings for my destination
country
and/ or region as of this date.
B)
There is a Travel Warning for my destination and there are extenuating circumstances which require me to travel
there.
I have obtained the approval of my advisor and the Dean of my college to travel to a destination for which Foreign
Affairs has issued a Travel Warning.
I have also contacted Lynne Mitchell in the Centre for International Programs and after meeting with her, have
signed
the appropriate High Risk Waiver, which will remain on file in the Centre for Internat
ional Programs.
Advisor’s Signature: _________________________________________ ___________________
_________________________________________ ___________________
Centre for International Programs: ___________________________________ ___________________
ItemizedBudget:
ExpenseDescription ExpenseAmount
TotalExpenses
Date:
Date:College Dean’s Signature:
Date:
Page 2 of 3
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John Black Graduate Travel Nomination Form
______________________
_________________________ ___________________
ToBeCompletedByPrimaryAdvisor:
Please note that Advisors have a responsibility to make a significant financial contribution to student travel especially
when the travel relates directly to or is required for the student’s research.
Iamabletofundthistravel:
Whataretheben
efitsofthistraveltothestudent’sprogram?
Date:Student’s Signature:
Othersourcesoffundingforthistravel:
Yes
___________________
______________________
__________________________ ___________________
Date: Advisor’s Signature:
Reason:
Amount:
No
ProtectionofPrivacy:We are committed to protecting your privacy. Personal information is collected under the authority of the University of
Guelph Act and pursuant to the FreedomofInformationandProtectionofPrivacyAct(FIPPA). If you have questions about the use and disclosure of
your personal information, call the OfficeofGraduateStudiesat (519) 824‐4120 ext. 56833. You can also find more information about access to
information and protection of privacy at the University of Guelph from the UniversitySecretariat.
Page 3 of 3
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Black%2CJohn TravelGrantApplication 1 John Black Travel Grant Application

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Completed 18 November 2019

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