Innovation Summit Travel Stipend Request Form

2025 TANGO2 Innovation Summit

Travel Stipend Request Form
Event Overview:
The TANGO2 Research Foundation will host the 2025 TANGO2 Innovation Summit on December 15, 2025. This invite-only event is part of a collaborative initiative to develop clinical guidelines for the acute care management of patients with TANGO2 Deficiency Disorder (TDD), focusing on the management of metabolic crisis. Participants will contribute their expertise to ensure the guidelines are evidence-based, practical, and aligned with best clinical practices.

The TANGO2 Research Foundation is offering travel stipends of up to $400 USD to help offset travel-related expenses for attendees participating in the TANGO2 Innovation Summit. Awards will be based on need and availability of funds. Please complete all sections of this form for consideration.

Event Date: December 15, 2025

Location: Houston Marriott Medical Center/Museum District 6580 Fannin Street, Houston, Texas 77030 (Driveway Entrance on 1730 Dryden Road)

Stipend Amount: Up to $400 USD (to offset travel-related expenses)

Application Deadline: October 17th, 2025 5pm (EST)

*If approved for a travel stipend and you are no longer able to attend the 2025 TANGO2 Innovation Summit, you will forfeit your stipend.

*Stipend awards will be paid directly to the recipient within 30 days after the approval of the application and proposed travel expense budget. Applicants will be notified by November 7, 2025.

Applicant Name*

First NameLast Name
Email*
example@example.com
Phone Number*

Country CodeArea CodePhone Number
Will you be traveling internationally?*

YesNo
Which country?*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

City and State (or Country) Traveling From*
Estimated Round Trip Travel Cost (in USD)*
Note: Applicants will need to use the most economical travel options (economy flights, regular Uber/Lyft, economy train), and mileage will be reimbursed at the GSA rate found on gsa.gov.
Preferred Method of Travel (Check all options that apply)*

AirfareTrain/BusPersonal Vehicle (Mileage reimbursement at standard IRS rate)Ride-share (i.e. Uber/Lyft)/TaxiOther
Will limited flight availability require you to extend your hotel stay and check out on 12/16/2025 instead of 12/15/2025?*

YesNo
Total Amount Requested (in USD)*
Applicants can request up to $400 (USD) Funding cannot be used for: Personal travel unrelated to the 2025 Innovation Summit, Travel companions, Cell phone charges, House, pet/animal, or child sitters, Laundry or clothing cleaning services, Souvenirs, Hotel room purchases, not complimentary provided Food & beverages, Car rental, Passport/visa renewal or new applications, Chauffeured limousine services, Change fees associated with flight, train, etc., baggage fees, travel upgrades (flight, train, etc), gas/fuel, internet/wifi charges, TSA pre-check and Hotel/vacation/rental properties.
Agreement (Please check each box to indicate that you've read and understand the terms of the travel stipend):*
Applicant Signature*

Clear
Date of Signing*

MonthDayYear
Date

Expenses Report Requirement
The stipend award recipients must submit an expense report (using the spreadsheet provided) within two weeks of completing their travel. The report should include ALL itemized receipts and justifications for expenses covered by the stipend, demonstrating the recipient's efforts to minimize costs within reason. Any remaining awarded funds in excess of $100 (USD) that are not justified in the expense report must be returned to the foundation.

Allowable expenses to include in your budget:

Transportation to/from the 2025 TANGO2 Innovation Summit – Airfare, train, mileage (for car travel), and ground transportation (Ubers, taxis, subways)

Note: Applicants will need to use the most economical travel options (economy flights, regular Uber/Lyft, economy train), and mileage will be reimbursed up to and at the GSA rate found on gsa.gov.

Funding cannot be used for:
- Personal travel unrelated to the 2025 Innovation Summit
- Travel companions
- Cell phone charges
- House, pet/animal, or child sitters
- Laundry or clothing cleaning services
- Souvenirs
- Hotel room purchases, not complimentary provided
- Food & beverages
- Car rental
- Passport/visa renewal or new applications
- Chauffeured limousine services
- Change fees associated with flight, train, etc.
- baggage fees
- travel upgrades (flight, train, etc)
- gas/fuel
- internet/wifi charges
- TSA pre-check
- Hotel/vacation/rental properties
The stipend can be used for expenses one travel day before and one travel day after the date of the event.

FAQ
What happens if I spend more than I proposed in my travel budget – over the stipend amount?
The Foundation will not reimburse Recipients for additional expenses over the requested stipend amount.

What happens if I spend less than I proposed in my travel budget and haven’t used the total stipend amount?
If you do not use the full stipend, you will be required to return any unused funds of $100 (USD) or more to the foundation.

Does the Foundation provide any type of support in planning travel?
No, attendees are required to book their travel independently.
Should be Empty:

2025 TANGO2 Innovation Summit

Expenses Report Requirement

FAQ