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LSN Opportunity Fund Budget
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To utilize this budget sheet, select file > make a copy. Then rename the file with your first and last name. Upload to your application as a PDF or .XLSX file.
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Lilly Scholar Name
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Lilly Scholar Award County
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Lilly Scholar State of Residence​
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Name of Opportunity
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Type of Opportunity​
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Location of Opportunity​
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Date Range of Opportunity
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Application Date (must be 6+ weeks in advance of date range above)
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In the budget chart below, please include ALL likely expenses. Make your best estimate where necessary. As a reminder, we are unable to reimburse for expenses already paid. Meals, study abroad and community service are ineligible expenses. Mileage rate is 76 cents/mile. Please include taxes and fees where relevant (hotel, airfare, etc.).
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Anticipated ExpenseAmountNotes/Comments (please indicate if any expenses are being covered by other funding sources, employer, etc.)
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Total Costs$0.00Please outline all costs associated with the opportunity, even if the amount is larger than what LSN can fund.
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Total Funds Requested for Opportunity Fund Award*
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*Requested funds must be between $250-$1,500.