GSEG Funding Application
2021-22
Your Name:
*
First Name
Last Name
Email Address:
*
@seas.upenn.edu email
Program
*
MCIT
MIPD
MSE BIOT
MSE BE
MSE CBE
MSE CGGT
MSE CIS
MSE DATS
MSE EE
MSE IPD
MSE MSE
MSE MEAM
MSE NANO
MSE ROBO
MSE SE
PhD BE
PhD CBE
PhD CIS
PhD ESE
PhD MEAM
PhD MSE
SCMP
Organization Name:
*
Event Name
*
Organization Name:
*
Event Date
*
-
Month
-
Day
Year
Date
Event Description:
*
Estimated Budget
*
Description of Budget
*
Estimated Attendance
*
Additional Information
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