URSCA TRAVEL Application
File Number:
Department Number:
OFFICE USE ONLY
Amount Funded:
Date Approved:
To apply, please complete the following application form and budget workbook. Obtain
signatures, attached supporting documentation and mail or deliver to the Office of Research
and Sponsored Programs – Room 208 Old Main a minimum of 10 days prior to the event.
Title of Event:
Destination:
Travel Period Start Date:
Travel Period End Date:
Number of Students:
Submitted By:
UWSP ID #:
Local Address:
Permanent Address:
Department of Office:
College or Adm. Area:
Faculty Mentor:
Check status:
☐ Freshman
☐ Sophomore
If a senior, anticipated graduation date:
☐ Junior
☐ Senior
Signatures:
___________________________________
Applicant
_____________________________
Date
Faculty Mentor’s - Please sign and check the applicable statement on the following page.
As their faculty mentor, it is your responsibility to ensure that only the student listed above is
reimbursed for allowable expenses that are stipulated in the attached project budget. Unused
funds may not be used for any other purpose and must be returned to the URSCA program.
___________________________________
Faculty Mentor
______________________________
Date
1
(This information is used for tracking purposed only and has no impact on selection)
The student-lead research, scholarship and/or creative activity presented in this application:
☐ Is directly associated with your Department’s approved GEP, Capstone Experience in the
Major. Http://www.uwsp.edu/acadaff/Pages/generalEducation/aspx
☐ Indirectly supports your Department’s improved GEP, Capstone Experience in the Major.
(Please provide explanation in your letter of support.)
☐ Is unrelated to your Department’s approved GEP, Capstone Experience in the Major.
2
University of Wisconsin-Stevens Point – URSCA Travel Additional Students
(duplicate this page as needed for the number of students traveling)
Submitted By:
UWSP ID #:
Local Address:
Permanent Address:
Department of Office:
College or Adm. Area:
Check status:
☐ Freshman
☐ Sophomore
If a senior, anticipated graduation date:
☐ Junior
___________________________________
Applicant
☐ Senior
_____________________________
Date
Submitted By:
UWSP ID #:
Local Address:
Permanent Address:
Department of Office:
College or Adm. Area:
Check status:
☐ Freshman
☐ Sophomore
If a senior, anticipated graduation date:
☐ Junior
___________________________________
Applicant
☐ Senior
_____________________________
Date
3
NARRATIVE (no more than 2 pages)
ABSTRACT
Please insert Abstract here and delete the instructions in this box from the final version of your
application. The Abstract should provide a concise description of the proposed presentation.
PLANS FOR DISSEMINATING INFORMATION
Please insert plans for dissemination here and delete the instructions in this box from the final version
of your application. How will you share what you learned with other UW-SP students?
SUPPORTING DOCUMENTS :
Letters of Support – Include a letter of endorsement from your faculty mentor. If your mentor
is providing supplemental funds to support your project, in should be indicated/verified in
his/her letter.
Expenses listed in the budget – Attach any documentation that supports the costs associated
with expenses listed in your budget.
4
GRANT APPLICATION CHECK-OFF SHEET
The grant application should include the following sections in order. This form is provided to
insure completeness of the grant application. DO NOT INCLUDE IT WITH THE APPLICATION AT
THE TIME OF SUBMISSION.
☐ Applications form signed by the applicant(s) and Faculty Mentor.
☐ Excel budget workbook completed.
☐ Letters of Support from faculty mentor.
☐ Copy of your notification to present at the event.
OTHER
☐ Certification of matching funds if they are to be included.
☐ Workshop/seminar/conference brochure if applicable.
☐ Supporting documentation for expenses listed.
5