Wilkes Center Travel Award
Student Name
First Name
Last Name
Email
example@example.com
UNID
Current Degree Program
Conference Information
Title of Conference
Conference Location
Conference/Travel Start Date
-
Month
-
Day
Year
Date
Conference/Travel End Date
-
Month
-
Day
Year
Date
Total Funds Requested
$500 max
Department Information
Department Travel Coordinator
First Name
Last Name
Travel Coordinator email
example@example.com
Other Information
Title of Research Project To be Presented
Abstract of Research Project to be Presented
Anticipated Expenses/Budget Overview
Educational and Professional Value Statement
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Presentation Acceptance Letter from Conference
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Submit
Should be Empty: