First2 Travel Application Request
The First 2 STEM Success Network NSF INCLUDES Alliance award includes travel funding for participants:
--To present about First2 to other groups
-To get more people to existing state gathering spaces such as Undergraduate Research Day at the Capitol, WV Science Teachers Association meeting, Women in Technology Conference, or West Virginia Academy of Sciences annual meetings, (please let us know about others!)
-To take “field trips” to observe STEM success work going on at other sites in our state,
-To gain information to bring back and strengthen the network, use of Networked Improvement Communities (NIC), and support for STEM students - specific learning that will be brought back and shared with the network (e.g. to meet working group needs and goals),
-Travel with First2 students

First name *
Your answer
Last name *
Your answer
Email address *
Your answer
Phone number *
Your answer
What is the purpose of your travel? How does this travel support the First 2 Network Alliance aims? *
Your answer
What is the event you are attending? *
Enter the approximate total amount of travel support requested from First2 Network for this event *
Your answer
Are you traveling with students? (This will make you in some sense a chaperone for the trip.) *
If students are traveling with you, please list their names. If they need travel support also, please have them submit their own forms.
Your answer
Starting point (City, State) *
Your answer
Destination (City, State) *
Your answer
Departure date *
MM
/
DD
/
YYYY
Departure time (estimated). This determines what meals can be supported. *
Your answer
Return date *
MM
/
DD
/
YYYY
Return time (estimated). Again, this time determines what meals can be supported. *
Your answer
Lodging (please specify the number of nights under "Other" if more than 2 nights are requested.) Where possible we prefer to pay your hotel costs directly. *
If registration costs are requested, explain and give the total cost under "Other." *
If you are driving your personal vehicle and mileage reimbursement is requested, list the TOTAL number of miles you will drive on the blank for "Other". If you are making a round trip, be sure to add the miles you drive each way. *
If a rental vehicle is requested, use the "Other" line to explain briefly and give the quoted total cost for the rental (e.g., 6-passenger van from Enterprise, $180 for three days) *
If a rental vehicle is requested, use the "Other" line to explain briefly and give the total anticipated fuel cost. (e.g., 150 mile trip, gas total ~$12 ) *
If airfare is requested, use the "Other" line to explain briefly and give the quoted total cost for the airfare. *
List the number of each type of meal for which you are requesting support (e.g., 0 breakfast, 1 lunch, 1 dinner) *
0
1
2
3
4
Breakfast
Lunch
Dinner
Have you submitted a First2 Travel Application Request within the past year? *
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