Topic outline
Conference Travel Grant Application Form
Conference Travel Grant Application
Maximum amount $1000
No set deadlineDate:
Name: (please indicate) Prof. / Dr.
Department:Have you previously received a travel grant from this committee?
Yes No
If “yes”, please attach a copy of your final report from the most recent Travel Grant awarded by this committee.
Nature of your participation in the event:
Paper/presentation/reading
Other active participation (please specify)
Name of event to be attended:
………………………………………………………………………………………………………………………………………………………………………………....Title of presentation:
……………………………………………………………………………………………………………………………………………….………………………………….
Location of event: ………………………………………………………………………………………………………………………………..……………………
Date(s) of event: ………………………………………………………………………………………………………………………………………………………
Abstract of conference material delivered or abstract submitted to conference (please attach documentation if necessary):
………………………………………………………………………………………………………………………………………………………………….……..…….…
…………………………………………………………………………………………………………………..…………………………………………………………….
Co-investigators if any: ...................................................................................................................................................
FUNDING
Have you received any funding to attend this conference?Yes No
If “yes”, please indicate amount and source of funding:
…………………………………………………………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………….……………………………………………….
Have you applied for other sources of funding to attend this conference?
Yes No
If “yes”, indicate source of funding, the amount requested, and the date a decision is expected:
…………………………………………………………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………….……………………………………………………….
Have you received confirmation of your participation?
Yes No
If “yes”, please attach a copy of the confirmation (e.g., conference schedule, relevant email).
If “no”, when do you expect to be advised of the decision? ………………………………………………………………………………………
ETHICS
Does this project (funded or unfunded) include research that involves humans?
Yes NoIf yes, you must obtain a letter of ethics approval signed by the Chair of the St. Thomas University REB before any research may be undertaken.
If you have not already done so, when do you plan to apply for REB approval?
Date: ___________________________
Note: SRC funds will not be released until REB approval is obtained.
Please note applications can be accepted before you receive confirmation of your active participation by the conference organizers. However, the grant will be conditional upon the Research Office receiving a copy of confirmation of participation.
BUDGET
Are you travelling by automobile?Yes No
If “yes”, please attach a mileage calculation from Google Maps (please note, this applies for travelling to the conference, and while attending the conference)
If “No”, please attach an estimate of the airfare or cost of alternate transportation.
STU Per Diem rates:
Breakfast $8
Lunch $12
Dinner $20
Misc. $5STU Mileage rate is 0.35 cents/km
Budget (please attach more items if necessary):
Expense
Amount
Total Amount Requested
$
Please be advised, the amount you are awarded depends upon the distance that you are travelling per km. Indicate which applies to you:
I am travelling between 150-700 km (one way), which entitles me to $400 (max)
I am travelling between 700-2000 km (one way), which entitles me to $700 (max)
I am travelling between over 2000 km (one way), which entitles me to $1000 (max) (please note, all overseas travel will be considered to be in this category)
Required Documentation Checklist:
If you’ve previously received a Conference Travel Grant from this committee, attach your final report
If your attendance is confirmed, a copy of confirmation
Abstract of conference material to be delivered
Google maps mileage calculation or overseas transportation estimate or both
In signing this application, you acknowledge that you understand the specific terms of receiving a conference travel grant, available here (if you are unable to access this link, please visit http://w3.stu.ca/stu/research/ , go to “Funding and Support” on the left, then Internal Funding, and then Travel Grant).
Please note: If you are awarded this Conference Travel Grant, you will be required to complete a 250 word report to the Research Office that documents the extent to which this funding has contributed to the revised application. This will be explained further in your “Letter of Award”.
Signed: ………………………………………………………………………………………….
Application Form approved by Senate Research Committee, August 2010.Application form feedback
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