CSWomen Travel Grant Application
First name *
Your answer
Last name *
Your answer
Email *
Your answer
Program *
Year in the program *
Conference/workshop you are traveling to *
Your answer
Dates of travel *
Your answer
(Estimated) travel costs *
Your answer
(Estimated) hotel costs *
Your answer
Registration fees *
Your answer
Other costs *
Your answer
Amount of money you are applying for ($500 maximum) *
Your answer
Have you applied for travel support from other sources? *
Provide details on other funding sources. What funding have you applied for? How much of your cost do you currently have covered? Not covered? If you haven't applied for any funding, indicate why. *
Your answer
Are you giving a talk or poster presentation? *
Title of work to be presented (if any)
Your answer
Authors of work to be presented (if any)
Your answer
Do you agree to acknowledge and thank CSWomen and Women for UMass organizations in your talk/poster (if giving one)? *
Do you agree to write a blog post about your experiences at the conference/workshop you are attending? *
Other comments:
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