Student Travel Grant Application Form

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Student Travel Grant Committee:
Yao Xie, Xiaoli Ma, Carrick Detweiler, Zhaohui Wang
WUWNet’15 Student Travel Grant Application From
PERSOANL INFORMATION
Name: __________________________________
College/University: __________________________________
Campus Address:__________________________________
City: __________________________________
Country: __________________________________
Email Address: __________________________________
Permanent (Home) Address: __________________________________
City: __________________________________
Country: __________________________________
EDUCATION BACKGROUND
Major: __________________________________
Anticipated Graduation Date: __________________________________
Degree Pursuing: __________________________________
Advisor Name: __________________________________
INDIVIDUAL LETTER OF APPLICATION
On a separate sheet of paper, please provide a statement describing why would you
like to attend WUWNet’ 15 and why would this benefit your learning and study.
Signature: __________________________________
Date: __________________________________
Please email applications to : wuwnet15@gmail.com
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