Conference Support Scheme - Application Form

CONFERENCE SUPPORT SCHEME
APPLICATION FOR FUNDING
Please note:
1.
To be eligible for funding, a copy of your abstract must be supplied with your application.
2.
All papers/posters must show correct Graham Centre affiliation: “Graham Centre for Agricultural Innovation (NSW
Department of Primary Industries and Charles Sturt University)”
3.
If your application is successful, you will be required to submit a written report, in the required format, to the Centre
Director following the conference.
4.
Funding approved under this scheme indicates the Centre’s agreement to provide a given amount to the applicant.
It does NOT constitute approval of the proposed travel itself.
5.
Please read the Guidelines before completing this form.
6.
Some fields have a maximum character limit (which includes spaces).
7.
* Denotes a required field
8.
Please email your completed form and all attachments to [email protected]. You will receive an email
confirming receipt of your application within 24 hours OR by the next working day.
9.
If you experience any difficulties with the form please email [email protected] or phone (02) 6933 4400.
Applicant
Courtesy Title*
Please select >>
First Name*
Last Name*
Telephone No. *
Email *
Application Date *
Applicant Category *
Section/Location *
Student ID (if applicable)
Please select >>
Please select >>
Conference
Name of Conference *
Conference Location *
Within Australia
Overseas
Town/City *
State
Country *
Conference Starts (dd/mm/yyyy) *
Conference Ends (dd/mm/yyyy) *
Does the conference fall within the allowable dates for this funding round? *
(Refer to Important Dates in the Guidelines)
Yes
No
If you answered No to the question above, please provide the reason that you are applying this round
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Presentation
Type of presentation * Please select >>
Title of paper *
Alignment with Graham Centre Priorities
Which of the Research Pathways does your presentation relate most closely to? *
Please select >>
How will your attendance at the conference enhance your research and/or contribute to the Graham Centre’s
research priority areas? *
(Maximum 500 characters – approximately 80 words)
Funding
How much funding are you requesting from the Graham Centre? *
Have you secured additional funding from alternative sources?
Yes
No
If yes, please provide details below AND attach documentary evidence
Amount
Funding Source
Acct No or Project ID
(If applicable)
Amount
Funding Source
Acct No or Project ID
(If applicable)
Evidence
Attached?
Evidence
Attached?
Have you applied for a Graham Centre Conference Support Scheme Grant before?
Yes
No
I can’t remember
Agreement
PLEASE TICK (IF APPLICABLE):
My paper/presentation indicates Graham Centre affiliation *
I have provided a copy of my abstract with this application *
I agree to submit a report to the Graham Centre within the agreed timeframe following the conference *
I have attached evidence of additional funding, where applicable (e.g. email from budget manager)
I have attached email permission from my supervisor (HDR students only)
Save Form
PLEASE EMAIL YOUR APPLICATION TO [email protected]
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