Academic Conference Travel Grant Application
Please complete this google form for each student traveling. Then, notify Jalene to send the form to Dawson. Scott Dunaway prefers that this application be submitted two months prior to the conference.
1. Faculty member completing this form: *
Your answer
Are you the faculty mentor who supervised the research that will be presented at the conference? *
If you are not the faculty mentor who supervised the research, who is?
Your answer
2. Name of Conference *
Your answer
3. Begin Date of Conference *
MM
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DD
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YYYY
End Date of Conference *
MM
/
DD
/
YYYY
4. Date student will be presenting at the conference *
MM
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DD
/
YYYY
5. Type of Conference *
6. Conference Location *
Your answer
7. Participating Student's Name (just one student per form) *
Your answer
Student's Major *
Student's Year in School *
Student's Email address *
Your answer
Confirmation received that student can present? *
8. Nature of student's participation (check all that apply) *
Required
9. Have funds from the Fulton or Hinckley Chairs supported this student's participation in any other conference(s)? *
If yes, please explain.
Your answer
10. Costs for the student to attend this conference
Please be specific.
Registration Cost *
Your answer
Travel (Sum of airfare, baggage fees, mileage and ground transportation) *
Your answer
Lodging *
Your answer
Meals (typically half of federal per diem rate per day) https://purchasing.byu.edu/forms/annual-mileage-per-diem *
Your answer
Other costs (please specify what and amount)
Your answer
11. Total Amount requested for this student *
Your answer
12. Amount, of the total requested, that the department will contribute. Typically this is $200 for the student's first trip and $300 for the second trip. This is because the college pays only about half of the amount requested for the second second trip so the department's contribution is more. Dawson will adjust this amount as needed.
Your answer
13. Amount, of the total requested, that will come from any other source, i.e. faculty research funds, Clinical Psychology for clinical students, etc. Please indicate source and total amount contributed.
Your answer
14. Briefly describe the project and the student's participation in the project. *
Your answer
Will you be traveling with this student to the conference? (If yes, please include student's name on your travel authorization) *
Are there other students you are mentoring who will be attending this same conference and applying for college funding? If yes, please indicate how many students total (and please complete a new form for each student). *
Your answer
Please submit and notify Jalene (jalene@byu.edu) that this form has been submitted. Thanks!! *
Submit
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