NCCLA 2016 Conference University of Wisconsin-La Crosse Student Travel Grant Application Form

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NCCLA 2016 Conference
University of Wisconsin-La Crosse
Student Travel Grant Application Form
Graduate and advanced undergraduate students are encouraged to participate in the
annual conference. A limited number of student travel grants of up to $200 each are
available. Grants are for full-time students who are not professionally employed.
Name:
Address:
Email:
Phone:
Institution:
Projected Budget total:
RT airfare or
RT mileage @ .51/mile
Lodging (
/night x
nights)
Meals (
/day x
Registration fee
Please mark one:
days
Graduate Student
Undergraduate Student
To apply, please send (as an email attachment or by regular mail) to:
Professor Pedro G. dos Santos
NCCLA Program Chair 2016
Luther College
700 College Dr.
Decorah, IA 52101
(563) 387-1250
nccla2016@luther.edu
Application deadline: September 30, 2016
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