WV-BRIN TRAVEL GRANT PROGRAM

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					 WEST VIRGINIA BIOMEDICAL RESEARCH INFRASTRUCTURE NETWORK
                           (WV-BRIN)

                         TRAVEL GRANT PROGRAM
                           Revised Form, 11/5/03

The WV-BRIN is offering travel grants to faculty and students at the eight
affiliated PUIs. A maximum of $1,500 per travel award is allowed. Funds are to
be used for travel expenses, lodging, meals, registration, and other justifiable
expenses. So that funds from the current grant year can be used to support the
request, the travel must be completed before June 30, 2004. There is no longer
a fixed deadline; applications will be considered as they are received.

The highest priority will be given to faculty members and students who will be
presenting biomedical research they have conducted during the WV-BRIN
summer research program or at their home institutions. Students may be
supported to attend meetings with their summer or institutional mentor. No funds
can be spent to support the summer mentors’ travel. Travel to meetings by PUI
faculty and students who will not be presenting research but anticipate that
attendance will enhance their educational or profession development or is
beneficial to the WV-BRIN will be considered. Meetings centered on biomedical
research will receive priority. Other meetings, if adequately justified, will be
considered for grants.

If there are questions, please contact Dr. Mark J. Reasor at (304) 293-2418 or
mreasor@hsc.wvu.edu.

Please complete the accompanying application form and return it to:

Ms. Vickie Sanders
WV-BRIN
P.O. Box 9177
Robert C. Byrd Health Sciences Center
of West Virginia University
Morgantown, WV 26506-9177
vsanders@hsc.wvu.edu
WV-BRIN TRAVEL GRANT APPLICATION FORM

                           Personal Information
______________________ ______________________       _______________________
First Name             Middle Name                  Last Name

        Institution: ____________________________________________________


  Mailing Address: ____________________________________________________

                       ____________________________________________________

                       __________________________ ________ _______________
                       City                       State    ZIP

            Phone: ( _____) _______________

    Email Address: ____________________________________________________

                             Travel Information
           Meeting: ____________________________________________________
                    Name of meeting, conference, event, etc.

          Location: ___________________________    _______________________
                                                   Dates

 Presentation Title:




         Author(s):
Will you be presenting research that you conducted during the WV-BRIN summer
research program or at your institution?

     O Yes               O No

How will your attendance enhance your educational or professional development
or be beneficial to the WV-BRIN?




                             Budget Request
             Travel: $_______________

          Lodging: $_______________

             Meals: $_______________

      Registration: $_______________

  Other Expenses: $_______________

             TOTAL: $_______________