CONFERENCE & TRAVEL SUPPORT SCHEME APPLICATION FOR FUNDING *indicates mandatory fields Please note: 1. All papers/posters must show National W ine and Grape Industry Centre. 2. To be eligible for funding, a copy of your abstract must be supplied with your application. 3. If your application is successful, you will be required to submit a written report, in the required format, to the Centre Director within one month following the conference. 4. Funding approved under this scheme indicates that Centre’s agreement to provide a given amount to the applicant. It does NOT constitute approval of the proposed travel itself. Applicant Courtesy Title * First Name * Last Name * Please select Telephone No. * Email * Applicant Category * CSU ID Section/Location * Please select Please select Conference Name of Conference * Conference Location: Within Australia Overseas Town/City * Country Conference Starts (dd/mm/yy) * Conference Ends (dd/mm/yy) * Presentation Type of presentation * Title of paper * Please select Date for early registration Alignment with National Wine and Grape Industry Centre Platforms and Research Priorities Insert life of National Wine and Grape Industry Centre project which is presented. Which of the following research priority areas does your presentation relate to? Vine Health and Diseases Vine Physiology (source sink relationships; root functioning, flowering and berry growth) Fruit and Wine Composition, Chemistry Wine making, wine styles and consumer preferences Decision making tools; remote sensing; modelling, processes Other (please specify) How will your attendance at the conference enhance your research and /or contribute to the National Wine and Grape Industry Centre’s research priority areas? Funding How much funding are you requesting from the National Wine and Grape Industry Centre? * (NB: Max award is $2,000 for an international conference and $1,000 for domestic) Estimated Cost of Travel Airfares Accommodation Land Travel Meal Allowances Conference fees Total estimated cost Have you secured additional funding from alternative sources: Yes No If so, please provide details below: Amount Source Amount Source If your application is successful, please indicate where the funds are to be deposited: * (NB: If you are a CSU staff member or student, you must supply a CSU code below) CSU Account: (if applicable) Please select Fund - Org - Acct - Prog Have you applied for a National W ine and Grape Industry Centre Conference and Travel Support Scheme Grant before? Yes No I can’t remember Agreement My paper/presentation clearly indicates National W ine and Grape Industry Centre Affiliation. I agree to submit a copy of my abstract with this application (if applicable). I agree to submit a written report to the National W ine and Grape Industry Centre within the agreed timeframe. Save Submit Form Clear Form
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