Return form to:
Division of Research and Sponsored Programs
117 Cartwright Hall
Request Number ________
Date Received ________
Awarded ________
Denied ________
UNIVERSITY RESEARCH COUNCIL
PROFESSIONAL CONFERENCE SUPPORT REQUEST
(for Dissemination of Research and Scholarship)
Name: ___________________________________________________ Date: ______________________________
Department: _____________________________________________ Phone: ______________________________
Faculty Rank: _________________________________________________________________________________
Purpose of Travel: _____________________________________________________________________________
Destination: ________________________________ Professional Association: ____________________________
Your Role: _________________________________ Dates of Meeting: _______________________________
Travel Costs:
Transportation:
$ __________
Lodging:
$ __________
Food:
$ __________
Registration:
$ __________
Other (Itemize):
$ __________
TOTAL COSTS:
$ __________
Amount Available from Other Sources:
Department/School/College/Campus:
Other Funding (Identify) _____________________________
Amount Requested from Research Council:
$ __________
$ __________
$ __________
Faculty Member Signature_________________________________________________________
Participant Checklist:
1.
Purpose is dissemination of scholarship and research
______
2.
Recognized professional association
______
3.
Documented participant (attach copies)
______
4.
Request is within Research Council's limits (see below)
______
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NOTES
1.
Applications can be submitted any time during the academic year, July 1 to June 30. Half the available funds
will be set aside for each semester. Priority will be given to faculty whose departments do not have a travel
budget.
2.
This support is to be used to assist in the dissemination of the results of scholarship and research. Faculty can
apply for no more than one conference, either domestic or international, within an academic year.
Documentation of participation from the organization should be included. Only the actual presenter of
multiple-authored papers can be supported.
3.
Support is limited to a maximum of $500.