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Student Travel Form


MTSU Student Travel Grant Application Form
[print out and complete]

Check one: [   ] I am a Women's Studies minor.
[   ] I am not a Women's Studies minor.

Name ___________________________________

Year in School / Major ______________________________________

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
James Union Building 308
MTSU Box 498

Fax: 615-898-5289

Deadlines: October 1 and February 1 each year

WMST MTSU