Request edit access
Wisconsin RTAP Scholarship Application
Instructions: Please fill out all sections of this application and hit the submit button at the bottom. Make sure you have time to complete the application all at once, you will not be able to save changes and return later. Please refer to the Scholarship Guidelines for information on eligibility, the scholarship process, reimbursement percentages and allowable costs.

*A separate online form will need to be completed for each person attending the event and requesting reimbursement. If you prefer to apply for multiple attendees in one application, please complete the Excel document on the training page of the Wisconsin RTAP website and email it to the contact below.

Please submit this application 30 days prior to the event's date, unless an earlier deadline has been established. Applications received after this deadline are subject to denial.

Rates for scholarship reimbursement are the same as state rates and are subject to change without notice as State rates are adjusted. Contact RTAP staff for current hotel allowances for specific out-of-state cities.

*If you are applying for an In-House/Group Training only, skip to the bottom.

Questions? Contact Dawn Tennant at: dtennant@rlsandassoc.com
Sign in to Google to save your progress. Learn more
Email *
Applying Organization *
Contact Phone Number *
Contact Email Address *
FULL Mailing Address (Street, City, State, Zip) *
FULL Event Information (Name and Location of Event) *
Event Date *
MM
/
DD
/
YYYY
Event Purpose (Please describe how this event is directly related to rural transit services) *
Attendee Name, Position/Title, Organization *
Registration Expenses (Cost per person) *
Lodging Expenses
In-State # of Nights
In-State Cost Per Night (Maximum amount allowable, excluding taxes, is $98.00, except for Milwaukee, Racine and Waukesha counties, which is $103.00.
Out-of-state # of Nights 
(Because rates vary from city to city, contact the RTAP scholarship Coordinator for the current allowable out- of-state hotel rate for specific cities/destinations. 

When reserving a hotel room, request the “State rate”, or if applicable, the special conference rate. If there are extenuating circumstances surrounding a hotel’s inability to meet the State rate or to offer a special conference rate, please contact the RTAP Coordinator.)

Out-of-state Cost Per Night
Transportation Expenses
Number of Miles (roundtrip) Driven ($.70 per mile)
Airfare Cost
Taxi/Uber/Lyft Cost
Parking Cost
Car Rental Cost
Other Costs (Please describe)
Meals
# of In-state Breakfasts ($10.00 per meal)  
In-state Breakfasts Cost
# of In-state Lunches ($12.00 per meal)  
In-state Lunches Cost
# of In-state Dinners ($23.00 meal)  
In-state Dinners Cost
# of Out-of-state Breakfasts ($11.00 meal)
Out-of-state Breakfasts Cost
# of Out-of-state Lunches ($17.00 meal)
Out-of-state Lunches Cost
# of Out-of-state Dinners ($27.00 meal)
Out-of-state Dinners Cost
Unless you are applying for an In-House/Group training reimbursement, you are now finished and may skip to the bottom to hit submit.
In-House/Group Training
Scholarships for in-house/group trainings will be available for reimbursement of 80% of the eligible expenses of the training.
Trainer/Speaker Cost
Training Materials
Reproduction Costs
Travel Costs (# of miles driven)
Meals Provided (# of meals)
Cost per Meal
Other Costs (please itemize)
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This form was created inside of RLS & Associates.

Does this form look suspicious? Report

Google Forms