Student Travel Grant Application

You will be contacted by the Director of the Honors Program when your application has been reviewed. Monetary support will only be available through reimbursement after you travel is complete. All relevant receipts must be provided with reimbursement request.

Fields in red are required.

Basic Information:
Your Full Name:		Your Current Academic Classification:	Select from list Senior Junior Sophomore Freshman
Your UMID:	i.e. M55555555	Your Phone Number:
Your Email:
Research Advisor:		Research Advisor's Department:
Research Advisor's Email:		Research Advisor's Phone Number:
Conference Information:
Name of Conference:		Classification of Conference	Select from List National Regional State
Location of Conference:		Dates of Conference
Research Information:
Title of Presentation:
Abstract as submitted to conference:
Briefly explain your role in this project:
Estimated Costs:
Registration Fee:
Hotel Cost per Night:		Total Number of nights of hotel stay
Mode of Transportation:	Car:	Estimated Miles to Conference:
	Plane / Train:	Estimated Ticket Cost:
Cost of Presentation Materials:		Total Estimated Cost:
Total dollar amount of support sought from UM Honors Travel Grant Program:
List any other sources of travel support and estimated dollar amount granted:
You may be contacted to confirm the origin of this request.

Contact. Dr. Sherry Ford, Honors Director, with any question.