Hajim Instructional Conference and Travel Grant Request Form
This is an application for the HICAT fund, to support faculty and staff attending engineering and computer science conferences for the purpose of course/curriculum education and development. Please contact Paul Funkenbusch at paul.funkenbusch@rochester.edu if you have questions
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Department
*
Appointment
*
Faculty
Staff
Conference Information
Name of Conference
Location of Conference
Conference Start Date
-
Month
-
Day
Year
Date
Conference End Date
-
Month
-
Day
Year
Date
Estimated Budget
*
Briefly describe how attending this conference will contribute to development of the engineering curriculum in your department or program. Please cite specific courses, curricular plans, and relevant conference content.
*
Will you be presenting a curriculum/course related paper, poster, or presentation at this conference?
Yes
No
Please give a brief description of the paper/presentation below:
If available, please upload your paper/presentation here:
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Other Support
In general, if a grant is awarded, HICAT will attempt to fully fund attendance at education, assessment, and accreditation related conferences (e.g. ASEE, ABET, etc.). HICAT may also provide supplemental support for attendance at professional society meetings (e.g. IEEE, AICHE, etc.) for the purpose of course/curriculum education and development. In the case of professional society meetings, a significant departmental contribution is expected.
Is any of the work being presented supported by an external grant?
Yes
No
If yes, please give details here:
Will your department or program help support your conference participation?
Yes
No
If yes, what is their contribution?
Is there any additional information you would like to provide?
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