Fillable University of Guelph Arthur D. Latornell Travel Grant Undergraduate Application Form

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University of Guelph Arthur D. Latornell Travel Grant Undergraduate Application Form

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Arthur D. Latornell Travel Grant
Undergraduate Application Form
An endowment fund established in memory of Arthur D. Latornell, OAC '50, who had a life-long professional career in
resource management and conservation and a special interest in helping young people. The funds are given to provide
twenty-five travel grants. These travel grants are offered to assist students in attending conferences, courses, co-op
student exchanges or study abroad programs in these areas.
Students may receive this grant only once during their
program of undergraduate study.
Deadline dates are June 30 for fall and/or winter travel, and March 15 for summer travel.
Qualification(s): Students who have completed a minimum of 5.0 course credits with at least a 70% average and a
primary area of interest related to natural resources management, environmental science, conservation, soil science
and/or rural development. Students will be asked to submit a one-page review of their travel experience, including the role
the travel grant played, to the University after completion of the travel.
Last
Name: First Name:
Student ID: Program:
Primary Area of Interest:
Have you ever received this award before?
Yes, When?
No
Where are you travelling to?
When will you depart from Canada? (year/month/day)
When will you return to Canada? (year/month/day)
Reason for your travel:
Exchange
Semester Abroad
Letter of Permission
Field Course (provide number and name: )
Other* (specify: )
*(If
you are
vo
lunteering
or
travelling
for
independent
research,
you must
submit
supporting documentation
from y
our
program
counsellor o
r f
aculty
advisor c
onfirming
that this
travel experience
is
necessary
for y
ou
to
participate
in
and
will
enhance/assist
in
your
degree
completion.)
If, d
uring your travels, you plan to undertake research involving humans (interviews, focus groups, participant observation),
you MUST have clearance from the Research Ethics Board. Please contact the Research Ethics Coordinator at X56606 or
email sauld@uoguelph.ca
with the details.
For Office Use Only:
GPA: Last 2: Cum: Class Level:
Program: Receive Travel:
Granted: Amt: Denied: Reason:
Travel Advisory Information: To be completed only by students whose travel destination is outside Canada
Funding applications for travel to destinations for which the Department of Foreign Affairs has a Travel Warning w ill not
normally
be considered.
Please refer to
the
Foreign
Affairs
website
for
travel warnings.
(Check either A or B below – i f completing B, all 3 boxes must be checked and signatures obtained)
A.
I
have c
hecked
the F
oreign
Affairs
website a
nd
certify
that
there a
re n
o
Travel
Warnings
for my
destination
country
and/or
region
as
of
this
date.
Student’s
Signature:
Date:
B
.
There
is
a
Travel
Wa
rn
ing
for
my
destination
and
there
are
extenuating
circumstances
which require
me
to
travel
there.
I
have
obtained
the
approv
al of
my
advisor an
d
the
Dean
of
my
college
to
travel to
a destination
for
which
Foreign
Affairs
has
issued
a Travel Warning.
Program Couns
ellor or Department
Chair’s Signat
ure:
Date:
College Dean’s Signature:
Date:
I
have
also
contacted
Lynn
e
Mitchell in
the
Centre
for I
nternational Programs
(lmitchel@uoguelph.ca
)
and after
meeting
with
her,
have
signed
the
appropriate
High
Risk W
aiver,
which
will remain
on
file
in
the
Centre
for I
nternational
Programs.
Centre for International Programs:
Date:
Details of Your Travel: To be completed by all students
How is this travel related to your program of study and connected to conservation or resource management? Attach an
extra page if needed.
I have attached the e s
tim
at
ed cost of my travel expenses (include airfare, accommodations, vaccinations, tuition, living
expenses, etc.)
If I do not travel as planned/indicated on this application, I agree to inform Student Financial Services of this change and I
recognize that the travel grant will be cancelled.
If approved for the Art hur D. La
tornell Travel Grant, I agree TO SUBMIT A ONE-PAGE REVIEW OF MY TRAVEL
EXPERIENCE, INCLUDING THE ROLE THE TRAVEL GRANT PLAYED, UPON RETURN FROM MY TRAVEL PERIOD.
Student’s
Signature:
Date:
Completed forms can be dropped off to Student Financial Services in the University Centre, Level 3 or scan
and email all forms and other required documents to awards@uoguelph.ca
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University of Guelph Arthur D. Latornell Travel Grant Undergraduate Application Form

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Completed 27 January 2020

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