Submit Completed Application to the
Office of the Provost and Executive Vice President for Academic Affairs
20 Seerley Hall, 0707
2015-2016 Deadlines:
September 3
October 1
November 5
December 3
January 14
February 4
March 3
April 7
May 5
ACTION OF COMMITTEE
Date Received ___________________
[ ] Approved $ _________________
[ ] Not Approved
INTERCOLLEGIATE ACADEMICS FUND APPLICATION
Please Read the IAF Guidelines Before Completing This Form
Application Must be Typed
Date of Application:
Name of Group/Department:
Number of Students Applying:
Student Information
Name
ID #
Undergraduate (U)/Graduate (G)
Faculty or Administrative Sponsor:
Event Information
Name of Event:
Location:
Date(s):
PLEASE ATTACH - Event Brochure/Program –and– provide event website URL:
Project Title and Description ( Briefly describe your project/presentation and each person’s role in it.)
How does your participation in the event demonstrate original research, scholarship or creative work that goes beyond
standard classroom learning/assignments?
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Activity Type: (Please mark the applicable box)
Presentation
A copy of your acceptance letter and an abstract of your presentation must be attached.
Academic Competition
Invited Performance
Other
A description of the competition and copy of your qualification or merit-based invitation to
complete must be attached.
A description of the event and a copy of the merit-based invitation must be attached
Describe and include verification of your participation:
Budget Information
Use the template on the next page to complete a budget specifying costs for the group for basic registration, housing and
transportation. IAF does not pay for meals, membership dues, visas or presentation supplies/materials. Please be as specific as
possible. Attach a conference program, registration materials, airfare quote, and other materials, which document the costs
listed in the budget. [Applications lacking a budget and documentation will NOT be considered.]
IAF can award up to $650 per student and $8,500 per group. Applications for travel outside of the United States and Canada
may be eligible for up to $1,000 per individual (not to exceed the $8,500 group limit). Individuals, groups, and departments
should normally expect to contribute a portion of the costs of the activity.
[Note: The guidelines and award amounts for 2014-2015 may be revised by the IAF committee at their first meeting in
September.]
COMPLETE BUDGET WORKSHEET ON THE NEXT PAGE
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BUDGET WORKSHEET
BUDGET CATEGORY
REGISTRATION
HOUSING
Hotel/motel
In general, IAF funds hotel
costs at a rate of 4 students
per room.
TRANSPORTATION
Airfare
DETAILS
Reg. Fee:
Number of students:
Total:
Nightly cost per room inc. tax:
Number of rooms:
Number of nights:
Total:
Airfare costs per person:
Baggage fees per person:
Total:
Type of Vehicle:
Costs:
Total:
TRANSPORTATION
Shuttles/Taxis/Charter
Bus/City Buses
TRANSPORTATION
UNI Motor Pool Lease
Estimate mileage:
Out of State Mileage chart
Or
In State Mileage chart
TRANSPORTATION
Personal Vehicle
Personal vehicles are
reimbursed at the University
mileage rate of 28 cents per
mile. Use links above to
estimate mileage.
BUDGET
AMOUNT
For IAF USE ONLY:
Total:
Number of Miles Round Trip:
Total Costs:
SEE THE LAST PAGE OF THIS APPLICATION
FOR INFORMATION ON ESTIMATING
UNI MOTOR POOL COSTS.
Total:
Number of Miles Round Trip:
Mileage Rate .28 x Miles
= Mileage Reimbursement
Number of vehicles:
TRANSPORTATION
Rental Car
Rental fees:
Fuel costs:
Total:
TRANSPORTATION
Parking Fees
Parking Fees:
Total:
TOTAL EXPENSE
Total:
Other Expected Funding for this Activity
Name of Source
Amount Requested
Indicate whether denied, pending or approved
Amount Requested from Intercollegiate Academics Fund:
How would attendance at this event benefit this group and the campus as a whole?
How will you share your experience and knowledge gained from participating in this activity with the UNI campus?:
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We acknowledge that we have read the IAF Guidelines and verify that the above information is accurate to the best of our
knowledge. If plans change, we will promptly inform the Office of the Executive Vice President and Provost. Signatures
below constitute agreement to abide by the “Intercollegiate Academics Fund Guidelines.” Please review the guidelines and IAF
Application Checklist before submitting this application.
____________________________ __________ __________________________ _________ ___________
Student Representative Signature Date
Faculty Sponsor Signature
Date
Phone
Email ___________________
Phone ___________________
__________________________ _________ ___________
Department Head Signature
Date
Phone
[NOTE: A completed Intercollegiate Academics Fund Report is required in order for reimbursement to take place. This form
is attached to the award e-mail sent to the faculty sponsor and is also available on the Forms Repository. Reimbursement
requests MUST be made within 14 days of the completion of the trip. After 14 days the award is cancelled and funds are
returned to the account for future applicants. See next page for details on submitting travel reimbursements.]
The University of Northern Iowa requests this information for the purpose of considering your application. No persons outside the
University are routinely provided this information. Responses to all items are required. If you fail to provide the required information,
the IAF Committee will not to act on this application.
Date Revised: August 2014
SEE NEXT PAGE
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IAF Application Check List
(Application must be typed)
I have reviewed the requirements below and attached the appropriate documentation for the type of activity in which I
will be participating..
Activity Type
Presentation
A copy of your acceptance letter and an abstract of your presentation must be attached.
Academic Competition
Invited Performance
Other
A description of the competition and copy of your qualification or merit-based
invitation to compete must be attached.
A description of the event and a copy of your qualification or merit-based invitation
must be attached
Describe the activity and include verification of your participation.
I have attached the budget documentation required for the expense type.
Budget Information
Registration – Include conference brochure or other documentation that notes basic registration amount.
As noted in the IAF Guidelines, membership fees are not an allowable expense.
Housing – Include hotel quote, conference brochure or other documentation detailing the amount of the housing
expense. Please note that groups are expected to share rooms at a rate of 4 students per room with allowances
made for gender.
Travel – Include quotes for airfare; a UNI Motor Pool quote or the Motor Pool Budget Worksheet on the last page
of this application and a copy of current UNI Motor Pool rates;or a vehicle rental quote from an off-campus
vendor. If traveling by personal vehicle, mileage is reimbursed at a rate of 28 cents per mile* for travel to and
from the event only. Mileage is calculated using the university tables found at the links below. If the destination
is not listed on the chart, you may include an estimate from Mapquest or a similar site to show the mileage.
http://www.vpaf.uni.edu/obo/accounts_payable/outofstate.pdf for out-of-state destinations
http://www.vpaf.uni.edu/obo/accounts_payable/instate.pdf for in-state destinations
*Note: Do not list estimated fuel cost on the budget, as fuel is covered in the per-mile rate.
Points to remember:

Students do not receive funding support to attend more than one meeting in any given fiscal year (July 1 to
June 30), so be certain not to include anyone on your application form who has been funded previously.

Faculty sponsor expenses should not be included in the student budget.
Reimbursements for Travel Expenses:
Within 14 days of returning from travel, the following documents must be submitted to the Office of the Executive Vice
President and Provost:
1. IAF REPORT FORM describing your experience at the event. Only one form is needed per group
and only students awarded funding should be included in this report.
2. A Travel Reimbursement Form for each person who paid for expenses.
3. Original Receipts
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UNI Motor Pool Information
The UNI Motor Pool leases vehicles for UNI activities. If you are considering using a UNI Motor Pool vehicle:
1. Call the Motor Pool at 273-2610 to discuss your options and ask if your group/drivers are eligible to
lease Motor Pool vehicles.
2. Visit the Motor Pool website (UNI Motor Pool Rates ) to estimate costs.
3. If you decide to lease a UNI Motor Pool vehicle, document your cost estimate by attaching a quote
from the Motor Pool or by filling out the worksheet below and attaching a copy of current Motor
Pool rates.
UNI Motor Pool Budget Worksheet
Note that the Motor Pool has 3 charges for each rental: a lease rate, a mileage rate, and a surcharge rate. Rates
vary by type of vehicle rented. UNI Motor Pool Rates
Estimate COSTS:
Dates Vehicle to be Leased:
Type of Vehicle Leased:
Number of Miles for Round Trip:
For IAF USE ONLY
Lease Cost per Vehicle at Daily or Weekend
Rate:
Mileage Rate
x Miles
= Mileage Cost
Surcharge per Mile Cost
x Miles
= Surcharge Cost
Number of Vehicles:
Total Costs per Vehicle:
Total Estimated Cost:
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