WILLIAMS TRAVEL AWARD APPLICATION FORM

Please fill out the form and then print it out to submit.

Applicant Name:

Department: Phone:
Email:

Name/Title of the Conference:

Location of the Conference:
Dates of the Conference:

Please append evidence that your work has been accepted for presentation. Such evidence could include copies of acceptance letters, or a copy of a page from a program.

Title of the Presentation:

Please append an abstract of approximately 250 words describing the work you will present.

Budget*:

Transportation
Meals (per diem x days)
Lodging (room rate x days)
Miscellaneous
Registration
Total estimated (or actual) expenses
Contributions from your department
Contributions from a grant or source other than your personal funds

Signature of Department Chair or Graduate Coordinator Required

*Please list actual or estimated expenses for your travel and any reimbursement you have received or

expect to receive from your department or other sources.

Please append a letter from your faculty mentor that addresses the following points: (a) the role of the

student in the work and presentation at the meeting, (b) the contribution of the work to the candidate’s field, and

(c) verification that the student will be enrolled in the university at the time of the presentation.