Updated 2/20161

SAHEP Student Affairs Committee

Student Travel Funding Application

If awarded, awards will be capped as follows:

$500 per person per national conference if presenting as 1st or 2nd author

$250 per person per national conference if presenting as 3rd or 4th author

$250 per person per national conference if presenting a poster as 1st or 2nd author

$100 per person per national conference if presenting a poster as 3rd or 4th author

$250 per person per regional conference if presenting as 1st or 2nd author

$100 per person per regional conference if presenting as 3rd or 4th author

$100 per person for regional conference if presenting a poster

Leadership representative amounts will be determined by the committee

Other as determined by the committee (including international presentations)

These are maximums and are not automatic if awarded. If awarded, you will be informed of the award amount. Students may only apply for one award per conference; they are not cumulative.

The funds associated with this program are for SAHEP students only. Funding allocations will be distributed among the units within SAHEP and priority will be determined by:1) presenting materials at national conferences and serving in leadership roles within the organization, 2) presenting materials at national conferences, 3) presenting materials at regional conferences and serving in leadership roles within the organization, 4) presenting materials at state conferences and serving in leadership roles within the organization, 5) presenting materials at state conferences, and 6) attending conferences in a leadership capacity, but not presenting.

Instructions: Please complete the following form completely and attach the abstract of presentation/poster, proof accepted thensubmit it to Dr. Melissa Zahl . Only fully completed forms submitted at least three weeks prior to the first day of a conference will be considered for funding to that conference.

Name:

OSU ID #:

Local Address:

Telephone:

Email:

Faculty Mentor:

Student Classification: Freshman Sophomore Junior Senior Masters Student Doctoral Student Doctoral Candidate

SAHEP Unit in which I am a student:

Conference attending:

Conference dates:

Conference location:

Itemized budget:

This conference is (be clear in what type of conference):

Local State Regional National International

Please make sure you add all presentations authored/co-authored, posters, leadership roles, or other obligations during the conference to this form. If you run out of space please add a new page.

  1. At this conference, I will be giving a presentation(s): yes no

If yes, what is the title of the presentation(s):

APA citation with correct author order, your name bold:

  1. At this conference, I will be presenting a poster(s): yes no

If yes, what is the title of the poster presentation(s):

APA citation with correct author order, your name bold:

  1. At this conference, I will presenting in a manner other than a session or poster:

yes no

If yes, please explain:

  1. I have a leadership role with this association or conference?yes no

If yes, what is your role:

The responses I have given on this form are true and accurate to the best of my knowledge.

Signature of Applicant:

Date of Application:

SAHEP Student Affairs Committee Recommendation:

Approved and accepted for fundingNot approved

Funding allocation in the amount of no more than:

SAHEP Student Affairs Committee Chair’s Signature:

Date:

This funding will be distributed in the form of a reimbursement. So, save your receipts and submit the accompanying reimbursement request with a signed copy of this approved form upon return from the conference.

In State Travel

There is not a Travel Request required for In-State travel. The In-State Travel Voucherwill be processed after the trip. In-State pays ground mileage, tolls, parking, and registration. Per diem is not usually paid with In-State travel, however, there are a few exceptions. OSU Travel policy states receipts should be provided within ten (10) days of returning.

Out of State Travel

There are two parts to processing Out-of-State travel:Travel Request and the Travel VoucherComplete a Travel Worksheet available in 434 Willard.

It is necessary to complete this form before you travel. The Travel Request informationis entered into the on-line AIRS system, signed by the traveler, and approved by the School Head before the trip.

Do not purchase before approval.

Do not purchase your airfare, registration, hotel, etc. before the Travel Request has been approved. The Travel Voucher is processed through the AIRS system after the traveler returns andhas presented their receipts. All receipts must be the original, in the traveler’s name with a zero balance. OSU Travel policy states receipts should be provided within ten (10) days of traveling.