INTERCOLLEGIATE ACADEMICS FUND APPLICATION
Please Read the IAF Guidelines Before Completing This Form
Application Must be Typed
2017-2018 Application Deadlines:
Due Date: /For Trips Occurring:
/Due Date:
/For Trips Occurring:
/Due Date:
/For Trips Occurring:
September 14 / Sep 15 – Nov 30 / December 7 / Jan 1 – Feb 28 / March 1 / Apr 1 – May 31October 5 / Nov 1 – Dec 31 / January 11 / Feb 1 – Mar 31 / April 5 / May 1 – Jun 30
November 2 / Dec 1 – Jan 31 / February 1 / Mar 1 – Apr 30 / May 3 / Jun 1 – Sept 17
Date of Application: Number of Students Applying:
Faculty / Administrative Sponsor:
Name of Group/Department:
Student Information (Please attach additional sheet if more than 7 students are attending)
Please note that students do not receive funding support to attend more than one meeting in any given fiscal year (July 1 to June 30), so be certain not to include anyone on your application form who has been funded previously.
Name
/ID #
/Undergraduate (U)/Graduate (G)
Event Information
Name of Event*:
Date(s): Location:
Event Website URL:
*PLEASE ATTACH - Event Brochure/Program
Activity Type (Please mark the applicable box)
Academic Competition: A description of the competition and a summary including evidence of preparation for the
competition or external merit-based invitation to compete must be attached.
Invited Performance: A description of the event and a copy of the external merit-based invitation must be attached.
Presentation: A copy of your external acceptance letter and an abstract of your presentation must be attached.
Other: Describe and include verification of your participation:
NOTE: THERE MUST BE EVIDENCE OF EXTERNAL REVIEW.
PROJECT TITLE/DESCRIPTION INFORMATION
Briefly describe your project/presentation and each person’s role in it.
How does your participation in the event demonstrate original research, scholarship, or creative work that goes beyond standard classroom learning/assignments?
How would attendance at this event benefit this group and the campus as a whole?
How will you publicize the activity or share your experience and knowledge gained from participating in this activity with the UNI campus?
STUDENT BUDGET WORKSHEET
Use this template to complete a budget specifying costs for the students included in the group for basic registration, housing and transportation. IAF does not pay for meals, membership dues, visas, or presentation supplies/materials. Please be as specific as possible. Attach a conference program, registration, housing and transportation quotes, and other materials which document the costs listed in the budget. (Applications lacking a budget and documentation will NOT be considered.) . Faculty sponsor expenses should not be included in the student budget.
BUDGET CATEGORY / DETAILS / BUDGET AMOUNT / For IAF USE ONLY:REGISTRATION / Registration fee per student:
Number of students: / Total:
HOUSING
Hotel/Motel
(Students & faculty cannot share a room) / Nightly cost per room inc. tax:
Number of rooms:
Number of nights: / Total:
TRANSPORTATION
Airfare / Airfare costs per person:
Baggage fees per person: / Total:
TRANSPORTATION
Shuttles/Taxis/Charter Bus/City Buses
/ Type of vehicle:
Costs: / Total:
TRANSPORTATION
UNI Motor Pool Lease
Estimate mileage:
http://www.uni.edu/obo/accounts-payable/travel-guidelines#mileage-reimbursement-rates / Number of miles round trip:
Total costs:
SEE THE NEXT PAGE OF THIS APPLICATION FOR INFORMATION ON ESTIMATING
UNI MOTOR POOL COSTS. / Total:
TRANSPORTATION
Personal Vehicle
Personal vehicles are reimbursed at the University mileage rate for travel to and from the event only. Use link above to estimate mileage. / Number of miles round trip:
Mileage Rate: . x miles
= Mileage reimbursement:
Number of vehicles: / Total:
TRANSPORTATION Rental Car / Rental fees:
Fuel costs: / Total:
TRANSPORTATION
Parking Fees / Parking fees: / Total:
TOTAL EXPENSE / Total:
Other funding applied for/requested for this activity:
Name of Source
/Amount Requested
/Indicate whether denied, pending, or approved
Total Amount requested from the Intercollegiate Academics Fund*: $
IAF can award up to $650 per student and $8,500 per group. Applications for travel outside of the United States and Canada may be eligible for up to $1,000 per individual (not to exceed the $8,500 group limit). Individuals, groups, and departments should normally expect to contribute a portion of the costs of the activity. [Note: The guidelines and award amounts for 2017-2018 may be revised by the IAF committee at their first meeting in September.]
*The completed IAF Fund Expense Reimbursement Form (attached), all receipts, and conference program cover and itinerary must be submitted to the department office of the faculty sponsor or via ProTrav within 21 days of the completion of the trip in order to receive any money awarded. After 21 days of the completion of the trip, the award is canceled. The funds are returned to the account for future applicants and may affect future funding of requests.
UNI MOTOR POOL INFORMATION
The UNI Motor Pool leases vehicles for UNI activities. If you are considering using a UNI Motor Pool vehicle:
1. Call the Motor Pool at 273-2610 to discuss your options and ask if your group/drivers are eligible to lease Motor Pool vehicles.
2. Visit the Motor Pool website (UNI Motor Pool Rates ) to estimate costs.
3. If you decide to lease a UNI Motor Pool vehicle, document your cost estimate by attaching a quote from the Motor Pool or by filling out the worksheet below and attaching a copy of current Motor Pool rates.
Please note that the Motor Pool has multiple charges for each rental. Rates vary by type of vehicle rented, length and time (weekend or weekday) of rental. Please see UNI Motor Pool Rates for a complete list of vehicle rental rates, mileage rates, and potential additional charges and fees.
MOTOR POOL ESTIMATE OF COSTS: / For IAF USE ONLYDates Vehicle to be Leased:
Type of Vehicle Leased: / Lease Cost per Vehicle at Daily,
Weekly, Monthly, or Weekend Rate:
Number of Miles for Round Trip: / Mileage Rate x Miles
= Mileage Cost:
Number of Vehicles: / Total Costs per Vehicle:
Total Estimated Cost:
IAF APPLICATION CHECKLIST
(Application must be typed)
I have reviewed the requirements below and attached the appropriate documentation for the type of activity in which I
will be participating.
Activity Type
Academic Competition: A description of the competition and a summary including evidence of preparation for
the competition or external merit-based invitation to compete must be attached.
Invited Performance: A description of the event and a copy of your qualification or external merit-based
invitation must be attached.
Presentation: A copy of your external acceptance letter and an abstract of your presentation must be attached.
Other: A description of the activity and verification of your participation must be attached.
I have attached the budget documentation required for the expense type.
Registration – Include conference brochure or other documentation that notes basic registration amount.
As noted in the IAF Guidelines, membership fees are not an allowable expense.
Housing – Include hotel quote, conference brochure, or other documentation detailing the amount of the
housing expense.
Travel – Include all quotes for travel. (Travel documentation should include all airfare, UNI Motor Pool
quote or the Motor Pool Budget Worksheet with a copy of current UNI Motor Pool rates, vehicle
rental quote from an off- campus vendor and/or estimate of personal vehicle costs).
ACKNOWLEDGEMENTS
We acknowledge that we have read the IAF Guidelines and verify that the above information is accurate to the best of our knowledge. If plans change, we will promptly inform the Office of the Provost and Executive Vice President. Signatures below constitute agreement to abide by the “Intercollegiate Academics Fund Guidelines.” Please review the guidelines and IAF Application Checklist before submitting this application.
We acknowledge that we understand that all students must contact the department office of the faculty sponsor prior to the trip to receive authorization via ProTrav to travel from the department. Any questions about travel authorization should be directed to your Faculty Sponsor.
We acknowledge that we understand that the following must be submitted to the department office of the faculty sponsor or via ProTrav within 21 days of the completion of the trip. After 21 days of the completion of the trip, the award is canceled. The funds are returned to the account for future applicants and may affect future funding of requests. See next page for details on submitting travel reimbursements.
IAF EXPENSE REIMBURSEMNT REPORT describing your experience at the event. Only one form is needed per group and only students awarded funding should be included in this report.
Original Receipts
The conference program cover page and itinerary
Faculty Sponsor and Student Representative:
______
Faculty Sponsor Name (Please print) Student Representative Name (Please print)
______
Faculty Sponsor Signature Date Student Representative Signature Date
Faculty Email ______Student Rep. Email ______
Faculty Phone ______Student Rep. Phone ______
Department Head:
______
Department Head Name (Please print)
______
Department Head Signature* Date
*Department Head’s signature signifies you have read the entire application and have concurred that the guidelines have been met.
The University of Northern Iowa requests this information for the purpose of considering your application. No persons outside the University are routinely provided this information. Responses to all items are required. If you fail to provide the required information, the IAF Committee will not act on this application. Date Revised: July 2017
Submit Completed Application to the
Office of the Provost and Executive Vice President for Academic Affairs
20 Seerley Hall (Mail Code 0707)
INTERCOLLEGIATE ACADEMICS FUND EXPENSE REIMBURSEMENT REPORT
This page is to be completed and submitted within 21 days of completion of the trip with the documents listed below in order to receive reimbursement.
Date submitted:
Name of Group/Department:
Name of Event, Site and Dates:
Names of students attending:
(Please list only those students who were awarded funding)
Describe briefly the nature of participation:
Describe any additional benefits derived from the event:
Describe effort made prior to/after participation to publicize the activity or share information gained:
The following documentation must be submitted to the department office of the faculty sponsor or via ProTrav within 21 days of the completion of the trip. After 21 days of the completion of the trip, the award is canceled and funds are returned to the account for future applicants and may affect future funding of requests.
1. This completed Intercollegiate Academics Fund Expense Reimbursement Report form (one per group)
2. All ORIGINAL RECEIPTS; and
3. The conference program cover page and itinerary
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