Travel Support for Student Researchers (TSSR) ~ Winter Quarter 2016
Student Name:
Phone:
Address:
Email address:
(City)
CSUB ID #
(Zip)
Level: Freshman ____ Soph ____ Junior ____ Senior ____ Graduate
Faculty Sponsor:
Department:
Research activities:
Conference / Meeting Sponsor (agency/organization):
Date of Conference / Meeting:
Location:
Description of Student Participation at Meeting:
(i.e., paper presenter, panel discussant, poster session participant, round table participant, etc.)
Abstract of Research Conducted: (Should include the purpose of study or creative activity; detailed description of
methodology or creative activity; data analysis, where appropriate; results of study or description of outcome of creative activity.
Attach addendum if necessary).
Budget Request (attach copies as listed below)**
Transportation:
Hotel/Lodging:
Registration Fees:
Maximum Award is $400.00
TOTAL REQUESTED:
Has additional funding been sought or offered: ___Yes ___ No
Student Signature:
Date:
**Please attach ALL of the following documents:
1.
Verification of acceptance of student’s participation at the meeting (e.g., letter of acceptance by
professional association) or verification of participation in research program/ project or creative activity
outside of regular courses.
2.
Certification that papers /work or program participation were selected through a formal review process.
1
CSUB Office of Grants, Research, and Sponsored Programs, DDH D108, (661) 654-2231
Travel Support for Student Researchers--Spring Quarter Application, revised June 2015
Travel Support for Student Researchers (TSSR) ~ Winter Quarter 2016
Page 2
3. Personal Statement from each applicant detailing how participation will enchance your educational
program and/or professional development.
4. Letter of Support from faculty sponsor.
5. Specific budget information (e.g., hotel charges, airline fare, car rental reservation cost estimates;
registration form indicating fee.)
6. Authorization letter from IRB or IACUC for projects involving human or animal research. For questions,
please contact Research Ethics Review Coordinator, Dr. Isabel Sumaya @ 654-2381 or Administrative
Support Coordinator, Gwen Parnell @ 654-2231
PLEASE NOTE: Applications will not be considered if any of the requested information is missing.
Deadline for submitting application: Tuesday, March 1st, 2016
Submit application and documents to the GRaSP office-DDH-- D108 by 12:00 p.m.
2
CSUB Office of Grants, Research, and Sponsored Programs, DDH D108, (661) 654-2231
Travel Support for Student Researchers--Spring Quarter Application, revised June 2015