Application Checklist Name of applicant (Typed): Sheldon Graduate Student Department: Hypothetical Email: stud5555@vandals.uidaho.edu The entire application must be TYPED and all application materials must be STAPLED in the following order: 1. Application checklist (this page) 2. GPSA Travel Award Application Form (four pages) (starting with the GPSA Travel Grant Summary). Every section on the application must be completely filled out. The form for the current academic year must be used (see dates at the top of the page). 3. Student cover letter (one page maximum). This letter must be signed and must include information about: a) purpose of travel, b) dates of travel, venue/place, c) relevance (benefit) to applicant and university, and d) summary of proposed work. 4. Letter from faculty advisor or committee chair signed on official department letterhead (one page maximum). This letter must be signed and must include information that: a) describes the value of the student travel/participation, b) verifies that there is no other travel money available from the department, individual research grants, or professional association hosting the event or inviting the student s participation, or c) specifies money available for student travel. 5. Evidence of participation from the event sponsors such as: copy of the registration acceptance letter/ confirmation of participation. Applicants name must appear on letter/ confirmation of participation. In field work cases a separate document must be added stating the nature of field work, i.e. where you will be going, what you will be doing, an additional letter from your advisor or person you are meeting with while in the field, and any other supportive evidence. Submit the complete GPSA Travel Award Application before 4:00 pm to the GPSA office drop box: 201 Morrill Hall Or mail (application must be received before deadline) to: GPSA Travel Awards Committee University of Idaho P.O. Box 444280, Moscow, Idaho, 83844-4280 1
GPSA Travel Award Application Form GPSA Travel Grant Summary (Section to be filled out by applicant) Name of applicant: Sheldon Graduate Student Department: Hypothetical Type of degree: Master Ph.D. (Section below to be filled out by GPSA officials only) Date Reviewed: Did the applicant receive an award? YES NO If NO, reason: If YES, how much was awarded? $ Travel distance: International National Local Date of Travel: Reviewed by Reviewed by: GPSA Award Committee Chair Signature: GPSA President or Vice-president Signature: 2
Application Form A. Personal Information Applicant Name: Sheldon Graduate Student Department Chair: Joe Smith Major advisor: Janet Smith Department Administrative Assistant: Department: Hypothetical Student ID: ### - ###### E-mail: stud5555@vandals.uidaho.edu Name of your department representative to the GPSA: Bob Smith B. Travel Information Name of conference, event, workshop, library archives, laboratory, field location, etc: Graduate Student Conference Destination (city, state, country): San Francisco, California, USA Dates of actual meeting/research: - C. Participation information (Check the most appropriate answer to each of the following questions): Yes No Will you be attending a conference or meeting(s)? Will you be participating in a workshop, laboratory, or field visit? Will you be presenting a poster? Will you be giving an oral presentation or performance with someone else? Will you be giving an oral presentation or performance alone? Will you be applying or interviewing for jobs/networking? 3
D. Budget Information (filled out completely) Category Amount ($) Details Registration $ 50 Registration for conference: $ 20 Abstract submission fees: $ 30 Transportation $ 400 Car Rental: Taxi/bus/train: Airfare: $ 400 Gas ($0.56/mile) Lodging $ 300 Hotel/hostel ($/per day number of days): $ 150 * 2 days = $ 300 Meals $ 68 *Per diem: $30 /day in Idaho and $39 /day out of Idaho $ 39 * 2 day = $ 68 TOTAL $ 818 E. Funding Information Travel Dates: Mode of travel (circle source below): Car Airplane Train Bus Other (explain) Dollar amount requested from the GPSA (up to $900 for international, $700 for national, and $350 for local travels): $ 700 Have you ever received a GPSA travel award before? Yes No If yes, list month and year of all the GPSA travel awards received: 1. 2. F. Student Registration Status Certifies that Sheldon Graduate Student is a full-time graduate student in good standing in the department of Hypothetical as of (date) Signature by department official (Department Chair/Administrative Assistant): Print Name: 4
G. Departmental funding statement (to be filled by the department chair only) Due to limited resources, the GPSA travel awards should be considered a monetary source of the last resort. It is not intended to subsidize or reimburse a department for graduate student travel, nor is such funding intended to reimburse project funds of individual faculty members within a given department. Instead, it is intended to help graduate students participate in professional functions who have no other sources of funding. Note: This section can be handwritten. Please provide initials for one of the following three statement(s): JS The GPSA award applicant will NOT receive any funds from or through your University department. The GPSA award applicant can expect to receive matching funds in the following amount: $ or % of the GPSA award. The GPSA award applicant is expected to receive funding regardless of GPSA funding from the following source(s) for the amount(s) provided: Source: Money Amount in $: 400 Source: Amount in $: H. Acknowledgement/Verification By Signing below, we guarantee that, to the best of our knowledge, the information provided in this travel award packet is correct. (All signatures are required for consideration for the GPSA travel award.) Applicant: Sheldon Graduate Student Major Professor: Janet Smith Department Chair: Joe Smith 5