RPA: Research Presentation Award Application

Research Presentation Award

Office of Undergraduate Research
Student Information
Name*

First NameLast Name
UR Email*
netID@u.rochester.edu
Student ID:*
Major:*
Please enter UNC if unknown at this time.
Year of Graduation / Class Year:*
Sponsoring Faculty/Supervisor Information
Sponsoring Faculty*
Enter the name of your research mentor, supervisor, or PI.
Sponsoring Faculty Email:*
Please enter carefully!
Sponsoring Faculty Department/Affiliation:*
e.g. Biomedical Engineering, JHU Dept of Pediatrics, Women's Studies, etc.
Conference Information
Name of Conference:*
URL for Conference:*
Conference City:*
Conference State or Country:*
Is the conference location outside the US?*

YesNo
Conference Dates:*
Will you present your research at this conference?*

YesNo
Presentation Title:*
Presentation Abstract:*
Please copy and paste the abstract you sent to the conference here.
Budget:

Enter the AMOUNT (USD $) of each expense below, as indicated
IMPORTANT!

Before entering the specific amounts of your expenses, please click here to review the maximum allowable per diem rates for your dates and location. Choose "Both" to select lodging AND meals/incidental expenses. Make sure you note whether the conference provides any of your meals and select accordingly. Amounts in excess of these rates will only be considered with appropriate justification.

Please "Save Expenses" as a .pdf and upload to this form, below.
Per Diem Report (from perdiemcalc.org)

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If your specific location is not available, please choose the closest location to the conference venue Cancelof
Budget: please provide details of your expenses in the box below (see example): *
Outline a budget of all costs related to this conference, such as hotel, transportation, registration, including other sources of funding, if applicable. e.g., Registration: $250 (covered by PI/mentor), Hotel: $400 (sharing room with another student), Flight: $300, etc.
Conference registration $:*
Airfare (enter 0 if not applicable) $:*
Accommodations $:*
Ground transportation $:*
Meals (excluding those provided by the conference) $:*
Other: please specify $
TOTAL conference expenses: $*
Including the amount you are receiving from other sources; we use this data to lobby for more funding
Mentor, Lab/Dept, Conference funding (i.e., the amount you are receiving/expecting to receive from other sources): $*
You are expected to have already requested funding from your department and research advisor/PI and checked whether the conference itself offers any funding for undergraduates.
REMAINING expenses (i.e., the amount you are requesting from the Office of Undergraduate Research): $*
Please list the DETAILS from the above (from whom you have requested support and the amount). See example:*
e.g., PI/mentor=$1000, Conference=$250, Biology department=$500, Hajim travel award $300, etc.
How will this conference support or expand your academic studies, research work, and/or professional goals?*
Resume:*

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Upload your Resume here (save Resume using your first name). Cancelof
I understand that my application for funding is incomplete until my sponsoring faculty uploads a letter of support (an email with a link to upload a letter is generated automatically upon submission of this form).*

Yes, I understand that it is my responsibility to contact my recommender.
This form and all supporting documents must be submitted to the Office of Undergraduate Research at least two weeks before the start of the conference. Please direct all questions to 585-276-5306 or undergradresearch@ur.rochester.edu.
Should be Empty:

Research Presentation Award

Student Information

Sponsoring Faculty/Supervisor Information

Conference Information

Budget: