Geographical Management of Cancer Health Disparities Program (GMaP):

Region 1-South Travel Award

Deadline: March 3, 2017

Travel funds are available for students, fellows/trainees, and early stage investigators who are affiliated with an institution in Region 1-South (North Carolina, South Carolina and Tennessee) to attend the GMAP Region 1-South Annual Cancer Research Symposium.

Eligibility:

1. Applicant must be a current GMaP Region 1-South Member in North Carolina, South Carolina, or Tennessee. Individuals who are not current members of GMaP Region 1 South are required to join in order to be considered for the Travel Award. If you wish to become a member of GMaP Region 1-South (North Carolina, South Carolina and Tennessee), please email (membership requires residence in the region, completing a basic membership survey, and enrolling in our listserv).

2. Applicant must be a student, fellow/trainee (pre-doc or post-doc), or early stage investigators.

Application Guidelines:

1. Applicants must submit an application prior to commencing travel to be considered for a travel award.

2. An applicant will only be granted one (1) travel award per year. Preference will be given to those who have not received an award in the past or to those who have been invited to present at the conference.

3. Funds may be used to reimburse any portion of travel up to $1000. Allowable expenses include, but are not limited to: conference registration, coach/economy airfare, ground transportation, hotel accommodations, per diem for meals (no alcohol), and travel insurance.

4. All travel must conform to University guidelines. For example, no reimbursement shall be made for meals within a ten (10) mile radius of the applicant's official headquarters or residence.

5. Receipts for expenses are required to be submitted for reimbursement within fourteen (14) business days of return from travel. Reimbursement will be based on actual expenses.

GMaP Region 1-South

Travel Award Application

Please submit application to

Name: ______UNC PID (if applicable): ______

Institution: ______Department:______

Address: ______Email: ______

City/State/ZIP: ______Telephone: ______

Current Funding Source (if applicable): ______

Training Status: □ Masters Student □ Doctoral Student/Pre-doc □ Post-doc □ Fellow □ Assistant Professor □ Other ______

********

Primary Mentor Information:

Mentor Name: ______Mentor Email: ______

Mentor’s Institution: ______

********

Travel Details

Reason for Travel: ______

Destination: ______Departure Date: ______Return Date: ______

Estimated Costs:

□ Transportation (check all that apply)

□ Airfare (To/From: ______) $______

□ Ground Transportation (Type: ______) $______

□ Lodging ($______nights @ $______per night) $______

□ Registration (Conference/Event:______) $______

□ Meals (#______breakfasts; #______lunches; #______dinners) $______

□ Other (please explain): ______$______

ESTIMATED TOTAL $______

Provide a brief description (300 word limit) of the reasons for travel. Items to include are: type of presentation, session name/presentation title/date/time, the extent of your participation at the conference, and how attending the conference will enhance your training or professional development.