CoJMC Student Travel Grant Application

CoJMC Student Travel Grant Application
Name*

First NameLast Name
Email*
example@example.com
NUID*
Start Date of Travel*

MonthDayYear
Date
End Date of Travel*

MonthDayYear
Date
Destination*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Is this travel related to an official class or program in CoJMC?*

YesNo
Is this travel related to UNL student job?*

YesNo
Is this travel related to an internship opportunity?*

YesNo
Purpose of travel: *
Please explain why you are travelling to this destination. If this travel is for a conference please include the name of the conference.
Please explain how this travel will benefit your academic learning or professional development. *
Please provide any additional information that may facilitate this request.
Should be Empty: