NSGIC 2018 Annual Conference Travel Grant Application

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NSGIC Members Only: Please complete this application, in full, to be considered for a conference travel grant.

Name *

Last name, First name

Organization

State

Phone Number

Amounted Requested: Travel *

If applicable, how much money are you requesting for mileage or airfare?

Amount Requested: Registration (PLEASE NOTE: Whenever possible, we ask that grant recipients verify whether their organization might cover registration expenses if NSGIC offers travel funding) *

$725

Amount Requested: Hotel (PLEASE NOTE: Whenever possible, grant recipients are asked to share a guestroom in an effort to reduce expenses) *

If applicable, how much money are you requesting for hotel stay (The lowest rate is $134.00 plus 13.785% at either the comfort suites, or Inn on Lake Superior).

Amount Requested: TOTAL

This field will automatically calculate the sum of all funding values entered above.

How many days of the conference will you attend?

Are you a NSGIC member?

Yes

Clear selection

Have you received a NSGIC travel grant in the past?

Yes

Clear selection

Please indicate highest level of NSGIC committee involvement

Not Active

Committee Member

Committee Chair or Board Member

Clear selection

Please indicate past participation in NSGIC

No past participation

Participation as individual

Participation as State Delegate

Clear selection

Are you a State Coordinator or State Delegate?

Yes, without a letter of support

Yes, with a letter of support from a high-level government official to attend

Clear selection

Please provide a brief description of grant need *

Submit

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