Fillable GRADUATE STUDENT TRAVEL FUNDING APPLICATION (University of North Dakota)

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GRADUATE STUDENT TRAVEL FUNDING APPLICATION (University of North Dakota)

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Revised: 09/24/2019
UND Tech Accelerator, Suite 2050
4201 James Ray Drive Stop 8367
Grand Forks ND 58202-8367
Ph.701.777.6736
vpr@UND.edu
GRADUATE STUDENT TRAVEL FUNDING APPLICATION
Requestor First Name:
Last Name:
Student/EMPLID #:
Email Address:
Phone #:
Advisor:
Department:
College/School:
Name of Conference:
Conference Location:
Conference Dates: Start Date:
Title of Presentation/Paper (Notice of Acceptance must be attached):
Justification (Briefly explain how attending this conference benefits you and your department/program.):
Projected Tra
vel Costs (Note: All expenses will be reimbursed in accordance with UND policies.):
Registration:
$
Air Transportation:
$
Ground Transportation:
$
Lodging:
$
Meal Per Diem:
$
Other:
$
Total:
$
Amount Requested ($500.00 Limit):
$
List Additional Funding Sources (Note whether pending or approved):
Source:
Amount:
Source 1:
$
Source 2:
$
Source 3:
$
Source 4:
$
Total:
$
Required Signa
tures:
Student: ___________________________________________________ Date_____________________
Advisor/Department Chair: ____________________________________ Date_____________________
Application guidelines can be found on the Graduate Student Travel Funds web page at:
https://und.edu/research/about/graduate-student-travel-funds.html. Submit the completed application form and
Notice of Acceptance to the Office of the Vice President for
Research & Economic Development at the UND Tech
Accelerator, Suite 2050, Stop 8367, or vpr@UND.edu.
Approved | Amount: $__________________ Denied
VP for Research &
ED or Designee: ____________________________________ Date ______________________
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GRADUATE STUDENT TRAVEL FUNDING APPLICATION (University of North Dakota)

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Completed 30 August 2020

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