Bioengineering Undergraduate Travel Award
Instructions:
1. Online application must be completed in full.
2. E-mail the following supporting documents to be-reimburse@eng.ucsd.edu (in ONE email)
a. Airfare quote or receipt (USD)
i. Coach airfare is the ONLY acceptable type of airfare
b. Hotel quote or receipt (USD)
c. Conference registration fee receipt
i. Please send in copy of completed conference registration form showing all fees
d. The program listing your name and title of paper, or the organizer’s letter accepting your paper on the program
First name
Your answer
Last name
Your answer
PID
Your answer
Major
Your answer
E-mail address
Your answer
Phone number
Your answer
Name of conference
Your answer
Location of conference (city, state)
Your answer
Name of Professional Society hosting conference
Your answer
Link to conference website
Your answer
Date of conference
Your answer
Title of Paper (if applicable)
Your answer
Airfare ($)
Your answer
Hotel ($)
Your answer
Registration fee cost ($)
Your answer
Requested award amount ($)
Max award amount is $500 per student per year.
Your answer
Do you have any honoraria, grants, or other sources available to defray travel expenses? If yes, please list the amounts for each.
Note: Award is made with the understanding there are limited other sources to defray travel expenses. If other sources become available, please return the funds to Bioengineering for redistribution immediately.
Your answer
Please let us know in 2-3 sentences why you should receive this award.
For example, you may write about the benefits of attending the conference.
Your answer
Do you work for a PI on campus? If yes, please say who below:
Your answer
Applicant Signature (full name)
By signing this document, you attest that the information contained on it is true and correct to the best of your knowledge.
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of UCSD Jacobs School of Engineering. Report Abuse - Terms of Service - Additional Terms