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The ICGD Student Travel Award
The ICGD Student Travel Award
Interdisciplinary Center for Global Diversity Student Travel Award
Applicant Name
Applicant Name
First
Last
College
Major
Phone
Phone
-
###
-
###
####
Email
I. Activity: Presenting original research/creative activity at a conference
Name of Conference
Location
From Date
From Date
/
MM
/
DD
YYYY
To Date
To Date
/
MM
/
DD
YYYY
Title of Presentation
II. Expenses: A cost estimate of the proposed activity.
Transportation:
$
Dollars
.
Cents
Lodging (room rate x days):
$
Dollars
.
Cents
Conference Registration
$
Dollars
.
Cents
Miscellaneous (must be documented):
$
Dollars
.
Cents
Total estimated or actual expenses:
$
Dollars
.
Cents
Contributions from a grant or source other than your personal funds:
$
Dollars
.
Cents
Amount requested:
$
Dollars
.
Cents
III. Abstract of Your Paper/Creative Work (Up to 200 Words)