Linguistics Program Student Conference Travel Grant Application Form
Note: Complete this form (3 pages) and email it to the Chair of Student Travel Committee.
Ask your advisor to send a supporting statement via email to the chair of the Committee.
1. Your name:
2. You current degree program: PhD
3. Are you applying to the Graduate School for travel funding? No
4. The name and location of the conference:
5. The title of your presentation:
6. The format of you presentation: Paper
7. A paragraph of 100-150 words stating the importance of this particular conference,
and why it is important for you to participate.
8. An abstract of your presentation (which can be the abstract that you submitted to the
conference), not to exceed 500 words.
TRAVEL WORKSHEET
Linguistics Program
UNIVERSITY OF
\
Your Name:
Required: funding source
Date Leaving Home Base
Date Returning Home Base
Specific purpose of
Travel and destination
VIP ID:
Example: Acct #, Commitment #, Award type, startup:
mm/dd/yy
mm/dd/yy
Time:
Time:
AM
AM
PM
PM
Section I - Methods of Transportation
PERSONAL VEHICLE MILEAGE
Plane amount
Train amount
Bus amount
One way mileage/departure @ 52 cents / mile
One way mileage/return @ 52 cents / mile
$
$
$
$
$0
SUBTOTAL SECTION I $ 0
Section II - Subsistence
Lodging cost per night (including taxes): $
MEAL ALLOWANCES:
In state B = $6.00
L = $7.00
D = $12.00
Out-of-state B = $7.00
L = $9.00
D = $16.00
Foreign rates: consult with Terri
LIST YOUR MEALS HERE:
per night X
nights =
$0
$ 25.00 per day MAX
$ 32.00 per day MAX
Daily allowance x # of days:
City (country) and Dates: (# days x foreign rate-consult with Terri)
SUBTOTAL SECTION II
List the daily $ here:
$
$
$
$0
(If meals were provided as part of registration, you cannot claim the expense). Meal receipts are not required. Out of country per diem is based on
country and city.
Section III – Other Expenses (ORIGINAL RECEIPTS MUST BE PROVIDED FOR THIS SECTION)
Registration
Taxi, shuttles, subways
Airport/Hotel parking
$
$
$
Other
$
SUBTOTAL SECTION III $ 0
Section IV - Summary
Section I Transportation $ 0
Section II Subsistence $ 0
Section III Other $ 0
GRAND TOTAL REQUESTED $ 0
TOTAL APPROVED:$______________
Program Director’s Approval
Date: ___________