PSYCHOLOGY DEPARTMENT TRAVEL AWARD APPLICATION
Instructions: Complete this form, attach documentation of conference, evidence of being 1st
author or presenter of University of Connecticut research material and your
Division Head’s approval. Submit to Psychology Front Office (Room 106).
NOTE: Maximum award up to $500 per year, and is limited for the first five years
of graduate studies.
Your Name (print):
Date Entered Psyc
Grad Program:
e-mail Address:
Travel Period:
Travel Destination:
Name of Conference:
Title of Paper:
Authors:
Funds for:
- Airfare
- Registration
- Mileage
- Other
TOTAL
Signature of Application:
Date:
Signature of Division Head:
Date:
PLEASE NOTE THAT THIS TRAVEL AWARD WILL BE REPORTD TO THE FINANCIAL
AID OFFICE. ORIGINAL RECEIPTS OF EXPENDITURES SHOULD BE GIVEN TO
Psychology Front Office. COPIES OF RECEIPTS SHOULD ALSO BE SENT TO THE
FINANCIAL AID OFFICE, U-4116 IN ORDER TO COMPLY WITH FINANCIAL AID
REPORTING REGULATIONS.
KFS Account (to be entered by the department):
File: \\Uconn\efs\Psychology\Administrative Area\Travel\Department Travel and Workshop
Award\Psychology_Department_Travel_Award_Form.docx 01.20.15