Scripps College Student Travel Grant Application

Name*

First Name

Last Name

Email*

Phone*

Meeting you plan to attend: *

Location of Meeting *

Address Line 1

Address Line 2

City

State

ZIP Code

Date of Meeting *

:

List your travel dates/date of meeting

Are you presenting your original research?*

How are you presenting your research? *

ex. poster, talk, etc...

Is this your senior thesis research?*

Title of paper*

Are you first author on the paper or poster?

Yes No

Sponsoring Professor

Please indicate school affiliation if not Scripps Faculty

Travel Costs*

Lowest available airfare

Other costs*

Please describe in detail

Total Cost*

Costs covered by other campus organizations

Total amount requested*

Are you currently enrolled in courses at Scripps or on study abroad through SAGE? *

Briefly describe the purpose and value of your attendance at this meeting

CONFERENCE TRAVEL GRANT APPLICATION