Conference Travel Funding Application (multi-authored presentation)
Use this form to request funding for travel to a conference to present the results of your research or creative inquiry. Fill out all forms completely and accurately; errors of omissions may result in your application being rejected.

One student can serve as "corresponding author" for a multi-authored project.
Email address *
Full Name of Corresponding Author *
Full Name of Second Author
Full Name of Third Author
Year at Juniata College (Corresponding Author) *
Year at Juniata College (Second Author) *
Year at Juniata College (Third Author) *
Program of Emphasis (Corresponding Author) *
Program of Emphasis (Second Author) *
Program of Emphasis (Third Author) *
LAST name of your research mentor *
CONFERENCE INFORMATION
Complete name of conference (no abbreviations) *
Conference dates *
Travel dates (departure–return) *
Conference location (city, state or city, country) *
Will you be making a presentation at the conference? *
If you are making a presentation, copy your presentation title here.
If you are making a presentation, copy your presentation abstract here.
List the names of other Juniata students or professors who will be attending the conference with you
BUDGET
Provide complete budget information for your participation in the conference. If any of the fields below does not apply, leave it blank.
150 for two
Mode of transportation (check all that apply)
Itemized transportation costs
Itemized meal expenses
Itemized lodging expenses (don't forget taxes!)
Other expenses (conference banquet, etc.)
Budget TOTAL
Amount requested
Please describe any special circumstances (meals provided by conference, sharing travel with others in personal vehicle, sharing hotel room, staying with family, etc.)
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy