2022-2023 Undergraduate Conference Fund for Research Application

Undergraduate Conference Fund for Research Application
Student Government Board has created this application for undergraduates only.

Please also note that we are only able to fund students who are attending domestic conferences at this time. Reimbursements will be processed within 30 days after the conference.
Personal Information:
First Name*
Last Name*
Pitt Email*
Phone Number*
School*
School (other)
Department*
2P Number*
Graduation Date*

MonthDayYear
Conference Information:
Conference Name*
Conference Location*
Conference Start Date*

MonthDayYear
Conference End Date*

MonthDayYear
Advisor Information:
Advisor Name*
Advisor Email*
Other Sources of Funding:
Please describe any other sources of funding and their respective amounts.
Attachments:

You are required to attach your acceptance letter (a screenshot is fine), a copy of your abstract, and any costs estimates or receipts of purchase. Please attach each using the upload links below.
Acceptance Letter Documentation*
Copy of Research Abstract*
Estimates or Receipts of Purchase (SGB can reimburse up to $250)*
Additional Information

Administrative Section
Administrative Section:

For SGB administrative purposes only. Do not fill out.
TG Request ID
Date Logged In

MonthDayYear
President Signature
Decision Date

MonthDayYear
Amount Approved
Amount Disbursed
Administrative Notes
Should be Empty: