GRADUATE STUDENT REQUEST FOR TRAVEL EXPENSES

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GRADUATE STUDENT REQUEST FOR TRAVEL EXPENSES Powered By Docstoc
					                           The Department of Geography
                  REQUEST FOR GRADUATE TRAVEL AWARD FORM

           Submission Deadline: February 1st Please note: this is not a travel claim form

This form is an application for funds to assist with conference travel to present a paper or poster session – and
in rare cases, thesis-related travel. Only one application per calendar year/per student will be considered for a
travel award. You will be notified of the results of your application as soon as possible. Please identify
this award and amount on the Travel Expense Reimbursement Form that you must submit, with receipts,
within 10 days of your return.


_________________________________                         _____________________    ____________________
STUDENT NAME                                              STUDENT #                   Masters or Ph.D.

NAME OF CONFERENCE: ______________________________________________________________

LOCATION:                ______________________________________________________________________

DATE OF TRIP:             ______________________________________________________________________

PURPOSE OF TRIP:
Presenting a Paper/Title: ___________________________________________________________________

Poster Presentation: ______________________________________________________________________

_________________________________________________________________________________

OTHER SOURCES OF FUNDING:                        _______________________________ $_____________________
 eg. http://grad.uwo.ca/documentation/2007-2008%20Joint%20Fund%20Application.pdf

PROPOSED BUDGET:
   Travel:     (check):                    Car: ($.40/km)     __________
                                           Air*               __________
                                           Bus*               __________
                                           Other*             __________            $_____________________
       Meals:
                   Per diem rate ($45/day: 10-B /12-L/23-D)
                        OR receipts* may be used.                                   $_____________________

       Conference Registration:*                                                   $_____________________

       Other:    (specify) ____________________________                            $_____________________

* RECEIPTS REQUIRED*                                                   TOTAL       $____________________


___________________________________                                  ___________________________________
Student Signature and Date                                           Supervisor Signature and Date

____________________________________                                 ___________________________________
Grad Chair Signature and Date                                        Amount Authorized


M:\GRADAFFAIRS\Travel\Request for Graduate Travel Award Form.doc                     Revised: 3/10/2010