KCV GOAL Application

KCV GOAL (Growth, Opportunity, and Learning) Fund Application

*Required
First Name*
If preferred name is different than legal first name, please include in parentheses following legal first name.
Last Name*
Pronouns
Email Address*
example@example.com. Please provide institutional email address if available.
Phone Number*
Please enter a valid phone number.
What institution are you affiliated with?*
Other
How are you affiliated with the institution?*

FacultyStaffStudentOther
What department are you affiliated with?
How much funding are you requesting?
How much funding are you requesting? Please include an estimated breakdown of costs (including items like lodging, travel, etc.) and meal per diems needed for number of activity days.*
Briefly describe your interest or purpose for applying. Please include how attending conference/event would benefit you.*
What are your expected outcomes from participation in KCV GOAL?*
Provide details about the conference/event you would like to participate in.*
Please include link to event website if available.
Attach PDF on the conference/event if available.

Cancelof
Is this application related to a submitted KCV Idea Disclosure Form?*

YesNo
Please provide KCV or institutional IDF reference number.

KCV GOAL (Growth, Opportunity, and Learning) Fund Application