GSA Conference Award Application.xlsx
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GSA Conference Award Application
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* Please complete all fields as this information is needed to process awards.
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Name of Student:
Banner ID:Meal Per Diem Rate:$65 for domestic locations or see http://www.defensetravel.dod.mil/site/perdiemCalc.cfm for international travel
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Department:
Destination:
Conference Attendance (50% up to $200)
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Conference Presentation (50% up to $300)
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Departure Date:
Return Date:
Foreign Conference Presentation (50% up to $400)
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Email:Phone:
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Dates (mm/dd/yy)Day 1Day 2Day 3Day 4Day 5Day 6Day 7Total Expenses
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Airfare $ -
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Gas $ -
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Auto Rental $ -
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Public Transit/Cabs $ -
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Parking/Tolls $ -
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Lodging $ -
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Registration Fees $ -
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Conference Related Fees $ -
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Poster Production $ -
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Meals $ -
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Totals $ - $ - $ - $ - $ - $ - $ - $ -
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Dual Funding- If you are receiving dual funding, please explain below:
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Expenses ÷ 2: $ -
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Total Requested: $
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*Please note: Applicants can only apply for the conference travel award once per academic year. The SLU academic year runs from July 1st to June 30th.
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Rev. 12/2016
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Conference Award Application