Fillable EL Levate!- Conference Scholarship Application (Texas Woman's University)

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EL Levate!- Conference Scholarship Application (Texas Woman's University)

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ELLevate! Conference Scholarship Application
Please email this form to ellevate@twu.edu or fax it to (940) 898-2962.
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APPLICANT INFORMATION
Full Name:
Street Address:
City, ST Zip Code:
Work Phone:
School Email Address:
You must be employed by Denton High School or Braswell High School in the Denton ISD to be eligible for
travel funds
☐
Denton High School
☐
Braswell High School
Position/Title:
TRAVEL DETAILS
Travel Start Date:
Travel End Date:
Name of Event (No abbreviations):
Location: (Include City, State, Zip):
Conference Brochure/Schedule website:
Please select the purpose of your travel:
☐
Attend as paper, poster, panel presenter, or as performer
☐ Attend as an award recipient
☐ Attend as a DISD Organization Officer or Student Sponsor
☐
Other (Indicate Purpose):
☐ Attend event/ conferences as general
audience
List all authors/presenters in appropriate order:
Describe your specific role in attending this event/conference and how it will benefit the ELLs in your school.
Please be specific about how you plan to share with your campus colleagues the knowledge/skills you
acquired (add pages if necessary but do not exceed one paragraph):
ELLevate! Office
College of Professional Education • PO Box 425769 • Denton, TX 76204
Tel. (940) 898-2214 or 2217 • Fax (940) 898-2962
www.twu.edu/ellevate • ellevate@twu.edu
Expenses
Provide estimated expense amounts
Provide estimated Funding Sources
Airfare or mileage if driving:
Denton ISD:
Hotel (including taxes):
School:
Meal per diem:
Scholarship:
The meal per diem follows federal guidelines. See instructions below for more information.
Registration/Fees:
Other:
Total Travel Expenses:
Total from Funding Sources:
Total Amount Requested:
Please note: Awarding of funds is not guaranteed and all funding is subject to internal audit. Applicants who are
in Tiers 3 and 4 will be considered first. All travel expenses will be reimbursed up to $1000 after travel has
occurred and the award recipient provides scanned copies of original receipts. Reimbursement will be made
through TWU Financial Aid, and the method will be either TWU Bank Mobile Card or Direct Deposit, depending
on the awardee’s preference.
Awards are subject to modification in the event additional funding sources are provided after an award has
been granted.
Applicant Signature
Principal or Assistant Principal Signature(s)
Applicant Printed Name
Principal or Assistant Principal Printed Name(s)
For Internal Use Only:
Meal per diem Guidelines
The meal per diem follows federal guidelines. Go to https://www.gsa.gov/travel/plan-book/per-diem-rates
to
look up current per diem rates. Use the Standard Rate if your destination city or county is not listed. The first and
last calendar day of travel should be calculated at 75 percent of the daily per diem. (First & Last Day of Travel
rates can be found at https://www.gsa.gov/travel/plan-book/per-diem-rates/meals-and-incidental-expenses-mie-
breakdown.)
Mileage Guidelines
Use Google maps to determine number of miles. Go to https://www.gsa.gov to find the current reimbursement
rate per mile for Privately Owned Vehicle (POV) Mileage. Multiply number of miles x rate to determine amount.
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EL Levate- Conference Scholarship Application (Texas Woman's University)

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Completed 22 July 2020

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