GPSA Travel Award 2014-2015

GPSA Travel Award 2014-2015

Application Checklist

Name of applicant (Typed):
Department: Date:
Email:
The entire application must be TYPED and all application materials must be STAPLED in the following order:
1.  Application checklist (this page)
2.  GPSA Travel Award Application Form (four pages) (starting with the GPSA Travel Grant Summary). Every section on the application must be completely filled out and typed. The form for the current academic year must be used (see dates at the top of the page).
3.  Student cover letter (one page maximum). This letter must be signed and must include information about: a) purpose of travel, b) dates of travel, venue/place, c) relevance (benefit) to applicant and university, and d) summary of proposed work.
4.  Letter from faculty advisor or committee chair signed on official department letterhead (one page maximum). This letter must be signed and must include information that: a) describes the value of the student travel/participation, b) verifies that there is no other travel money available from the department, individual research grants, or professional association hosting the event or inviting the student’s participation, or c) specifies money available for student travel.
5.  Evidence of participation from the event sponsors such as: copy of the registration acceptance letter/ confirmation of participation. Applicants name must appear on letter/ confirmation of participation. In field work cases a separate document must be added stating the nature of field work, i.e. where you will be going, what you will be doing, an additional letter from your advisor or person you are meeting with while in the field, and any other supportive evidence.
Submit the complete GPSA Travel Award Application before 4:00 pm
to the GPSA office drop box:
201 Morrill Hall
Or mail (application must be received before deadline) to:
GPSA – Travel Awards Committee
University of Idaho
P.O. Box 444280, Moscow, Idaho, 83844-4280

GPSA Travel Award Application Form

GPSA Travel Grant Summary

(Section to be filled out by applicant)

Name of applicant: / Department:
Type of degree: Master Ph.D. Other:

(Section below to be filled out by GPSA officials only)

Date Reviewed:
Did the applicant receive an award? / YES / NO
If NO, reason:
If YES, how much was awarded? / $
Travel distance: / International / National / Local
Date of Travel:
Reviewed by / Date:
Reviewed by: / Date:
GPSA Award Committee Chair Signature: / Date:
GPSA President or Vice-president Signature:

Application Form

A. Personal Information
Applicant Name: / Student ID:
Phone number: / E-mail:
Department Chair: / Phone number:
Major advisor: / Phone number:
Department Administrative Assistant: / Phone number:
Department: / Name of your department representative to the GPSA:
B. Travel Information
Name of conference, event, workshop, library archives, laboratory, field location, etc:
Destination (city, state, country):
Dates of actual meeting/research:
C. Participation information
(Check the most appropriate answer to each of the following questions): Yes No
Will you be attending a conference or meeting(s)?
Will you be participating in a workshop, laboratory, or field visit?
Will you be presenting a poster?
Will you be giving an oral presentation or performance with someone else?
Will you be giving an oral presentation or performance alone?
Will you be applying or interviewing for jobs/networking?
D. Budget Information (filled out completely)
Category / Amount ($) / Details
Registration
Transportation / Car Rental: / Taxi/bus/train:
/ Airfare:
/ Gas ($0.56/mile)
Lodging / Hotel/hostel ($/per day X number of days):
Meals / *Per diem: $30 /day in Idaho and $39 /day out of Idaho
TOTAL
E. Funding Information
Travel Dates:
Mode of travel (circle source below):
Car Airplane Train Bus / Other (explain)
Dollar amount requested from the GPSA (up to $900 for international, $700 for national, and $350 for local travels):
Have you ever received a GPSA travel award before? Yes No
If yes, list month and year of all the GPSA travel awards received:
1.
2.
F. Student Registration Status
Certifies that is a full-time graduate student in good standing in the department of as of (date)
Signature by department official (Department Chair/Administrative Assistant)
/ Date:
Print Name: / Phone number:
G. Departmental funding statement (to be filled by the department chair only)
Due to limited resources, the GPSA travel awards should be considered a monetary source of the last resort. It is not intended to subsidize or reimburse a department for graduate student travel, nor is such funding intended to reimburse project funds of individual faculty members within a given department. Instead, it is intended to help graduate students participate in professional functions who have no other sources of funding. Note: This section can be handwritten.
Please provide initials for one of the following three statement(s):
The GPSA award applicant will NOT receive any funds from or through your University department.
The GPSA award applicant can expect to receive matching funds in the following amount: $ or % of the GPSA award.
The GPSA award applicant is expected to receive funding regardless of GPSA funding from the following source(s) for the amount(s) provided:
Source: Amount in $:
Source: Amount in $:
H. Acknowledgement/Verification
By Signing below, we guarantee that, to the best of our knowledge, the information provided in this travel award packet is correct. (All signatures are required for consideration for the GPSA travel award.)
Applicant: / Date:
Major Professor: / Date:
Department Chair: / Date:

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