ST ANNE’S COLLEGE APPLICATION FOR A JCR RESEARCH AND TRAVEL GRANT NAME: ___________________________________________ TUTOR: __________________________ YEAR OF COURSE: ____________ SUBJECT: ____________________________________________ DESTINATION: ______________________________________________________________________ If travelling with another College member, give name: ________________________________________ (Every member of group must submit own application) Dates of travel: _______________________________________________________________________ Details of travel: ______________________________________________________________________ (a) Fare: _______ (b) Insurance: ________ (c) Accommodation: _________ (d) Equipment: _________ TOTAL: £ …………………. Have you previously received a Travel Grant: ________ If so, when: ___________________________ Have you applied for funding from another source? ______ If yes, please give details: ______________ _____________________________________________________________________________________ Give brief description of travel plans, including itinerary: (Submit separate sheet if insufficient space) _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ Signed ………………………………………. Date …………………………………………. Please hand this form to your Personal Tutor for him/her to provide a reference on the reverse and ensure that there is enough time to meet the deadline: Friday of Week 5 in Hilary and Trinity Terms. N.B. No travel grants are awarded in Michaelmas Term. To be completed by the Principal APPLICATION ACCEPTED/REJECTED FUND(S) _______________________________________________________ AMOUNT: £ _________ JCR RESEARCH AND TRAVEL GRANT APPLICATION TUTOR’S RECOMMENDATION Please return this form to the Principal’s PA by Friday of Week 5. Tutor’s name: ________________________________________________________________________ Relationship to Student: _________________________________________________________________ Comments in support, or otherwise, in connection with student’s application: _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ Signature _______________________________________________ Date _______________________