CASStudentConference-TravelGrantApplication
Name:________________________________IDnumber:____________________Email:_____________________________
StudentType:Undergraduate:____1styear____Sophomore____Junior____Senior
Graduate:____Masters____PhDEnteringyear_________________
Major:___________________________ExpectedGraduationDate:__________________________
ConferenceName:_____________________________________________________________________
ConferenceDates:_____________________________Location:___________________________
Conferencetype:_______Regional_______National_______International
PresentationType: ______Panel______Poster______Talk______Workshop
______Other(explain):
PresentationTitle:_________________________________________________PresentationDate(s):________________
Listanyothersourcesappliedtoforsupportofthistravel(ifyouareanundergraduatewhodid
notapplyforaProvostStudentTravelAward,brieflyexplainwhy):
BUDGET:
Item Amount
_____________________________________________________________ $_____________
_____________________________________________________________ $_____________
_____________________________________________________________ $_____________
_____________________________________________________________ $_____________
Total $_____________
Studentsignature:_______________________________________________________________
Facultyname(pleaseprint):____________________________________________________
Facultysignature:________________________________________________________________
Graduatestudents:submitthisformwithproofofpresentationacceptancetotheCASAssociate
DeanofResearch,atcasresearch@american.edu.
Undergraduatestudents:submitthisformwithproofofpresentationacceptanceandtotheCAS
AssociateDeanofUndergraduatestudiesatpascale@american.edu.