PRP/NRP Workshop Minneapolis, September 2019
Partial travel support is available for a limited number of fully registered workshop attendees. Please complete this form by July 15 to request support. If you are selected for travel funding you will be notified by July 22. (Note: attendees from UC San Diego and UC Berkeley are ineligible for participant support.) Participant support funding provided by NSF grant #OAC-1541349.
Email address *
Name *
Your answer
Organization/Institution *
Note: employees of UC Berkeley and UC San Diego are ineligible for travel support
Your answer
My institution is a designated "Minority-Serving Institution." *
Please see this link for list of minority-serving institutions: https://www2.ed.gov/about/offices/list/ocr/edlite-minorityinst-list-tab.html
My institution is in an "EPSCoR state." *
Planned arrival date *
MM
/
DD
/
YYYY
Planned departure date *
MM
/
DD
/
YYYY
Requested items to reimburse ($1,000 total allowed) *
Required
Have you completed a UC Berkeley supplier form sometime in the past? *
Submit
Never submit passwords through Google Forms.
This form was created inside of UC Berkeley. Report Abuse - Terms of Service