Student Presenter Travel Fund Application

Educational Leadership, Research and Technology

Eligibility

To be eligible for travel funding the applicant must:

be regularly admitted to the Department of Educational Leadership, Research and Technology,
be in good academic standing, holding at least a 3.0 GPA,
have successfully completed at least 6 credit hours in their approved current ELRT program,
be enrolled in the semester that the presentation travel takes place (except summer),
provide notification of conference presentation acceptance.

Application instructions

Complete the online application below prior to any purchases.
Attach a notification of conference presentation acceptance.
You may receive a maximum of $500 of funding per academic year. Funds currently available are up to $500 for individual presentations and up to $250 for joint presentations.
If your application is approved, do not pay for any travel expenses until you have completed the travel authorization with the department fund administrator, Dr. Louann Bierlein Palmer.
The total amount of funds may not exceed the costs of attending the conference.
Not all applications may be selected for funding and not all applicants may receive the amount of funding requested.

Please direct any questions to Dr. Louann Bierlein Palmer.

Applicant Information

First Name (required)

Last Name (required)

Local mailing address (required)

City (required)

State (required)

Zip (required)

Student Email (required)

WIN (required)

�� identification number

Program currently enrolled in: (required)

Advisor (required)

Advisor Email (required)

A copy of this form will be sent to your advisor.

Name of professional conference or society where presentation will take place (required)

Please identify (give URL) the official conference website if there is one

Title of Project/Presentation (required)

Presenter(s) (required)

Conference Acceptance (required)

Please attach the conference acceptance memo.
One file only.
2 MB limit.
Allowed types: gif, jpg, jpeg, png, txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods, xml.

Expenses

Registration Fee (required)

Typically this will be the student rate.

Transportation

Type of Transportation (required)

Air

Bus

Rail

Personal Car

Rental Car

Date of Departure (required)

Date of Return (required)

Departing From (required)

(city, state)

Traveling To (required)

(city, state)

Total miles expenses

For personal car travel. Miles x mileage rate = total mileage expenses. For miles, use Mapquest starting from �� main campus. For current mileage rate, use travel website.

Ticket Expense

For rental car, bus, rail, or air travel.

Total Transportation Expenses (required)

Parking

Location

Daily Rate

Number of Days

Parking Total

Meals

Daily Rate

Please use the to determine the per diem rate for the location of the conference.

Number of Days

Meals Total

Lodging

Name

Location

Cost per Night

Number of Nights

Lodging Total

Miscellaneous Expenses

Explanation of Miscellaneous Expenses

Example: transportation to/from airport.

Miscellaneous Expenses Total (required)

Total Estimated Expenses (required)

Notes

(Miscellaneous information, reasons for travel, etc.)

Agreement (required)

By checking this box, I accept and acknowledge that receiving this reimbursement or payment of expenses may have financial aid or income tax consequences for me.

I agree

Certify (required)

By checking this box, I affirm that I have truthfully completed this application as accurately and completely as possible. I also accept and acknowledge all conditions of the award for which I am applying and acknowledge that I must meet all conditions for eligibility in order to receive an award.

I agree

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Educational Leadership, Research and Technology