Alabama's Public Liberal Arts University

Undergraduate Research

Travel Award Application Form

All fields are required.

Personal Information
First Name:   Last Name:  
Phone:  

 

 Email:  
University ID:(i.e.M########)      

Address
Street Address:   City:  
State

(i.e. AL):

   Zip Code:  

Research Information
Department   Degree  
Research Advisor   Research Discipline  
Expected Graduation Date   MM       YYYY    
Conference Information
Title:   Location:  
Beginning Date:

  MM        DD        YYYY

 End Date

  MM        DD        YYYY
Title of Paper

 

    

Other Information
Have you received the UR Travel Award before?

Yes        No

 When will you receive confirmation of acceptance of your presentation from the conference organizers?  
Will you be applying for any other forms of financial assistance for attending the conference? If so, please describe.

If not, then type no.