PICUP Capstone Travel Scholarship Request
This form is to request travel support for the 2020 PICUP Capstone Conference
First Name *
Your answer
Last Name *
Your answer
Email address *
Your answer
Institution *
Your answer
My Institution is a (select all that apply): *
Required
I would like to request $_____ in support of my travel to the PICUP Capstone conference. The cost of lodging and meals are already included with registration so should not be requested. Requests for travel reimbursement (flight or ground transportation) will be considered. Decisions will be made on a rolling basis after March 1 (priority deadline) until funds run out. *
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What will this travel scholarship be used for? Please provide a rough budget for the request. *
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Do you have anything else you would like to tell us?
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