Interdisciplinary Conference Travel Grant Form

All fields are required, unless otherwise indicated.

Today's Date / MM / DD YYYY
NetID
Student ID Number
Name First Last
Email
Cluster
Program of Study
To be eligible for a interdisciplinary conference travel grant you must meet the following requirements:

You must be an active, enrolled TGS student at Northwestern when the conference occurs (not discontinued, graduated, or on leave).

You may not receive more than 2 interdisciplinary conference travel grants.
I will be an active TGS student at Northwestern when the conference takes place. I have received one or no more than one interdisciplinary conference travel grant to date.
Conference Information
Name of Conference
Conference Location
Conference Start Date / MM / DD YYYY
Conference End Date / MM / DD YYYY
Confirmation of Conference Attendance

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Total amount requested from TGS (maximum is $1000):
Please briefly outline the estimated cost of your attendance (e.g. Registration fee: $200, Taxis: $60, etc.)
If applicable, list the amount of any other funds that will support conference travel (travel grants, program funds, etc.):
Please upload approval from Cluster Director for receiving these funds (e.g. a screenshot of an email)

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