Best Student Project Travel Award Application    Student Name (Print):___________________________  Department:__________________  Faculty Sponsor Name (Print):_____________________ Department:__________________ 

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Best

 

Student

 

Project

 

Travel

 

Award

 

Application

 

 

Student   Name   (Print):___________________________   Department:__________________  

 

Faculty   Sponsor   Name   (Print):_____________________   Department:__________________  

For   student:    

□  I   waive   my   right   to   review   the   letter   of   support   written   by   my   faculty   sponsor  

□  I   do   not   waive   my   right   to   review   the   letter   of   support   written   by   my   faculty   sponsor   

Student   Name   (Signature):________________________  

 

For   faculty   member:  

□  I   will   travel   with   the   student  

□  I   will   not   travel   with   the   student,   ___________________   has   agreed   to   travel   with   the   student   

Faculty   Name   (Signature):________________________  

 

Name   of   Conference:__________________________________________________________  

Location:____________________________________________________________________  

Dates:_______________________________________________________________________  

 

Please   select   one:  

□  The   student   will   make   an   oral   presentation  

□  The   student   will   give   a   poster   presentation  

□  We   don’t   know   yet   whether   it   will   be   a   poster   or   an   oral   presentation,   because   that   is   determined   after   the   abstract   is   submitted  

 

Remember   the   rest   of   the   application:  

□  Presentation/Poster   Abstract  

□  Student   Resume  

□  Letter   of   support   from   faculty   sponsor   (sealed   in   envelope)  

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