Student Intent to Travel

If you are applying for travel funding from other sources such as Graduate Engineering Association Student Travel Funding (GEA travel fund), Graduate Scholarly Presentation Travel Fund (Grad Travel Fund), Undergraduate Travel Award, etc. please complete this form so that the department is aware of any potential funding.

Last Name *

First Name *

E-mail *

Conference Name *

Conference Dates *

Advisor Funding *

Is your advisor providing funding? If yes, how much?

Applied for funding from: *

	Yes	No	Received
GEA Travel Fund *	GEA Travel Fund - Yes	GEA Travel Fund - No	GEA Travel Fund - Received
Graduate Travel Fund *	Graduate Travel Fund - Yes	Graduate Travel Fund - No	Graduate Travel Fund - Received
Undergraduate Travel Award *	Undergraduate Travel Award - Yes	Undergraduate Travel Award - No	Undergraduate Travel Award - Received
Other *	Other - Yes	Other - No	Other - Received