Undergraduate Research Conference Travel Application

Undergraduate Research Presentation Travel Award. Only completed applications will be considered. A complete application will include this form along with the Faculty/Academic Staff Recommendation form filled out by your advisor. Please provide a link to your mentor for the recommendation.

Student Last Name

Student First Name(Required)

Email (ePanther)(Required)

Enter Email Confirm Email

Faculty/Academic Staff Sponsor(Required)

Name of Conference or Presentation Venue(Required)

Title of Presentation(Required)

Type of Presentation(Required)

Other

If you selected “Other”, please describe your presentation here.

Departure Date(Required)

Return Date(Required)

Location of Activity(Required)

Purpose of Travel(Required)

Please describe the purpose of the travel, and how the funds will be utilized.

Anticipated Travel Expenses(Required)

Though funding will be limited to $500, please list all anticipated expenses, even if they exceed this amount.