Student Travel Award Application
Budget Form
Date: _______________________ Division/Department: ________________________________
Student Name: _____________________________________ Student ID: ___________________
Travel Purpose: ____________________________________________________________
_
_______________________________________________________________________
________________________________________________________________________
Travel Description:
Destination:
Depart Date:
Return Date:
City:
State:
Country:
Estimation of Expenses:
Transportation Expense:
$___________ Airfare:
Mileage _______ miles at ______ per mile $___________
Total Transportation: $___________
Lodging Expense:
Cost per night $__________ X number of nights ________ $___________
Meals:
$___________
Estimate cost of meals, but do not include meals that are
provide
d by the conference:
Registration Fee:
$___________
Other Travel Related Expenses (Give a brief description): $___________
________________________________________________________________________
________________________________________________________________________
TOTAL ESTIMATED EXPENSES: $___________
Are any of the expenses covered by another funding source? If yes, please indicate the
amount of funding awarded and source of funding: ______________________________
________________________________________________________________________
________________________________________________________________________
Baggage Check and Incidentals
0
0
0
0
0.54