GPSF Travel Award Expense Report
Please fill out the following form to receive your Travel Award reimbursement. This form is for students who have already been notified that they received a Travel Award.
Email address *
Name *
Your answer
PID *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Campus Mailing Address (4-Digit CB#)
Not required, but preferred (helps save on postage)
Your answer
Permanent Mailing Address *
Required even if CB# is provided above
Your answer
Award Cycle *
Award Type *
Travel Purpose *
Travel Description *
Please describe your travel in 1-2 sentences. If you attended a conference, workshop, etc. please specify the name
Your answer
Date travel began *
MM
/
DD
/
YYYY
UNC/Home Departure Time *
Time
:
Destination Arrival Time *
Time
:
Destination Address *
This should be the address for your hotel/lodging, or the conference center if not staying overnight
Your answer
Date travel was completed *
MM
/
DD
/
YYYY
Destination Departure Time *
Time
:
UNC/Home Arrival Time
Time
:
Did you receive funding from another source for this trip? *
e.g. NSF/NIH Grant, department travel funds, funds from advisor, other award or scholarship
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