Departmental Travel Award Application
Name
*
First Name
Last Name
Email
*
example@example.com
Advisor Name
*
First Name
Last Name
Academic Information
Years in graduate program
*
1
2
3
4
5+
Expected graduation date
*
Graduate GPA
*
Have you passed your preliminary exam?
*
Yes
No
Have you previously received a departmental travel award?
*
Yes
No
Conference information
Are you applying to the ACS Division of Organic Chemistry Graduate Research Symposium (https://www.organicdivision.org/graduate-research-symposium/)
*
Yes
No
Name of Meeting
*
Location
*
Meeting Dates
*
Nature of involvement (select all that apply)
*
Presenting a poster
Presenting a talk
Conducting Research
N/A
If you are conducting research, please apply for a Research Travel Award!
To apply for a research travel award, please complete the forms found here: https://form.jotform.com/231915468885067
Application Information
Outline a proposed budget for your trip (not to exceed $750)
*
How will this travel impact your education/career?
*
0/150
Please attach your presentation abstract.
*
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Please upload an up-to-date CV including a list of research/teaching experience, service/leadership, publications, and presentations.
*
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