CSBS Student Travel Support-AY2024-2025

CSBS Student Travel Support

Competitive Application - AY 2024-2025
Student Name*
Email
example@example.com
Major*
UndergraduateGraduate
Department*
Reason For Travel:
Conference Title:
Conference Location*
Conference Date:*

MonthDayYear
Date
Presentation Title:
PresentationPanel DiscussantCommittee Leadership
Required Attachments:

1) Acceptance letter

2) Presentation abstract

3) Committee leadership documentation

4) Attach budget (include other proposed sources of funding; CSBS may fund up to $500; funding is not guaranteed)
Amount Requested*
Upload All Required Attachments Here:

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Student Signature*

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Date*

MonthDayYear
ONLY COMPLETE APPLICATIONS WILL BE ACCEPTED AND REVIEWED
Faculty Advisor Name:*
Faculty Advisor Signature

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Date

MonthDayYear
Date
ApproveDeny
Department Notes
Department Representative Name
Date

MonthDayYear
Date
Department Representative Signature

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Date

MonthDayYear
Date
ApproveDeny
Date

MonthDayYear
Date
Dean
Dean Signature

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Dean Notes
18111 Nordhoff Street Northridge California 91330-8256

Phone: (818) 677-3317 | Fax (818)677-3480
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