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Faculty Travel Form
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Women's Studies Council Members Travel Grant Application Form
[print out and complete]

Name ___________________________________

Position and Rank _____________________________________

Campus Address/Box __________________________________

Phone Number _____________________________

Email ____________________________________

Conference or Meeting (include title, site, and dates) __________________

_____________________________________________________________

_____________________________________________________________

Title of Paper to be Presented ________________________________________________

________________________________________________

Abstract of Paper to be Presented (150-200 words; type and attach to form).

Approximate Total Cost of Travel $_____________

Other Funding Anticipated $____________

Source(s) of Other Funding ______________________

______________________________________________

 

Please return to:    Women's Studies
JUB 308
MTSU Box 498

Fax: 615-898-5289
WMST MTSU


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Middle Tennessee State University, in its educational programs and activities involving students and employees, does not discriminate on the basis of race, color, national origin, sex, religion, or age. Furthermore, the university does not discriminate against veterans or individuals with disabilities.