Wilkes Center Travel Award
Student Name
First Name
Last Name
Email
example@example.com
UNID
Current Degree Program
Conference/Research Trip Information
Title of Conference/Research Trip
Conference/Research Trip Purpose and Description
Conference/Research Trip - Travel Start Date
-
Month
-
Day
Year
Date
Conference/Research Trip - 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 (for Research Travel or Conference Presentation)
Abstract of Research Project (for Research Travel or Conference Presentation)
Anticipated Expenses/Budget Overview
Educational and Professional Value Statement
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Presentation Acceptance Letter from Conference (only if attending a conference)
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Letter from Advisor Confirming Details of Research Travel (only if traveling for research)
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Submit
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