Fillable Latornell Graduate Travel Arthur D. Latornell Graduate Travel Grant

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Latornell Graduate Travel Arthur D. Latornell Graduate Travel Grant

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Office of Graduate Studies
ArthurD.LatornellGraduateTravelGrant
_______________________ _______________________
_______________________ _______________________
_______________________
Eligibility:
Registered graduate students in any college with at least a first‐class (‘A‐‘) average in the last two years whose research
interest relates to resource management and/ or resource conservation are eligible. One travel award is available for a
student whose research interest relates to resource remediation/ reclamation. Due to your Department/ School by
March 1 and October 1.
Iconfirmthatmyresearchrelatestooneofthefollowingthemes:
Department/School:
Degree Program:Student ID:
First Name:
Last Name:
Resource Management/ Resource Conservation
Destination:
Resource Remediation/ Reclamation
____________________ __________________
ReasonforTravel:
ToTravelDates: From
Presenting at a conference – paper accepted Conducting research Attending a conference
Presenting at a conference – decision pending
TitleofResearch:
Inthespaceprovided,brieflydescribetheresearchandhowitrelatestooneofthethemeslistedabove.
Taking a course
Page 1 of 3
LatornellGraduateTravelScholarshipProgramNominationForm
CompletethissectiononlyiftraveldestinationisoutsideCanada.
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 International Programs.
Advisor’s Signature: _________________________________________ ___________________
_________________________________________ ___________________
Centre for I
nternational Programs:
____
_______________________________ ___________________
ItemizedBudget:
ExpenseDescription ExpenseAmount
TotalExpenses
Date:
Date:College Dean’s Signature:
Date:
Page 2 of 3
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LatornellGraduateTravelScholarshipProgramNominationForm
___________________
____________________________ ___________________
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:
Whatareth
ebenefitsofthistraveltothestudent’sprogram?
Date:Student’s Signature:
Othersourcesoffundingforthistravel:
Yes
___________________
___________________
_____________________________ ___________________
ToBeCompletedByDepartment/School:
_______________
_______ _______
Confirmation that research is related to:
total applicants from department/ school for this competition.ofRanked
Average in the last 2 years:
Date: Advisor’s Signature:
Reason:
Amount:
No
Resource Management/ Resource Conservation
Date:______________________
_________________ ___________________Graduate Coordinator’s Signature:
Resource Remediation/ Reclamation
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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Latornell Graduate Travel Arthur D. Latornell Graduate Travel Grant

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Completed 9 February 2020

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