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PIELC 2017 Travel Stipend Application
We have a limited budget for travel stipends for conference attendees each year. Please note that filling out this application does not guarantee funds. Additionally, we will try to help as many attendees make it to the conference as possible. We will try to offer as funds as requested but due to budget constrains we might be able to offer you only part of what you request.

All funds will be dispensed AFTER the conference. You will receive a reimbursement check.

All information will be kept confidential. We respect your privacy.

Contact Information
First Name
Your answer
Last Name
Your answer
Email
Your answer
Phone
Your answer
Travel Information
Where are you traveling from?
Your answer
How will you be traveling?
Your answer
What amount are you requesting for your travel stipends?
Your answer
Are you a student?
Are you a law student?
Are you a public interest attorney?
Will you be traveling with other conference attendees?
Please tell us why you are requesting funds.
Your answer
Submit
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