WRHC Stipend Request Form
The Western Regional Honors Council invites proposals for disbursement of surplus conference proceeds to defray the partial cost of attendance at NCHC or WRHC or other accredited Honors seminars, workshops, and institutes. Please fill out and submit the form below for consideration for funding.

Proposals require approval at a regular business meeting or via the WRHC President's Council. No approval of funds in any given year implies any future disbursement of funds for the same or other activities. Please contact either the current WRHC President at cpeters@chapman.edu, or the WRHC Secretary/Treasurer at dvillanueva@nshe.nevada.edu or (775) 784-3414 if you have any questions!

Email address *
Name of Applicant *
Your E-Mail Address *
Requester's Title (if faculty or staff) *
Your Title (if faculty or staff) *
Name of University and Honors Program/College *
Honors Dean or Director's Name *
Honors Dean or Director's E-Mail *
Honors Dean or Director's Phone Number *
Honors Dean or Director's Phone Number *
Have you, your students, or staff received WRHC funding for any projects, excluding conference hosting, since April 2015? *
If yes, list amount(s), years(s), and purpose(s) here:
Activity for which funding is being requested *
Amount of funding being requested (max. $250 for student, $500 for faculty/staff): *
Briefly describe here the activity for which you are requesting funding. *
Provide the link to the activity web page, if any: *
Please upload here a line-item budget including total cost of participation, and other sources of funding. Note other sources of funding which have already been granted or received *
Required
If you have received a confirmed registration, participation, or acceptance notice, upload the confirmation here. You may apply for WRHC funds prior to receiving official confirmation of your registration, but stipends cannot be disbursed until confirmation is received by WRHC.
If any of the above categories or menu choices do not allow you to describe your proposed funding request in as much detail as necessary, add additional comments below:
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Nevada System of Higher Education. - Terms of Service