Chemistry Department Travel Award Request

The Department of Chemistry will support travel expenses associated with active participation (poster or oral presentation) at a professional meeting by a graduate student. This is a one-time award of $300 to students who have successfully completed their general exam before the meeting. The award will be $500 if the general exam was successfully completed before the end of the student’s third summer of training.

Support will be paid out as a fellowship payment through the student's Bursar account AFTER travel has completed.

This Chemistry Department Travel Award Request Form must be submitted AT LEAST one month prior to attending this conference. Please contact chemtravel@uconn.edu with any questions.

Your Contact Information

Name(Required)

First Last

Email(Required)

Peoplesoft/Student Admin ID Number(Required)

Your Peoplesoft/Student Admin ID number is a combination of approx. 7 numbers [NOT letters + numbers (your NetID)].

Research Advisor(s)(Required)

General Exam & Funding Sources

General Exam Status(Required)

I HAVE NOT yet successfully completed my general exam [NOT eligible for fellowship]

I HAVE successfully completed my general exam AFTER my third summer of training [$300]

I HAVE successfully completed my general exam BEFORE the end of my third summer of training [$500]

General Exam Title(Required)

General Exam Date(Required)

Conference

Name of Conference(Required)

Conference Website(Required)

Estimated Date of Departure(Required)

Estimated Date of Return(Required)

Title of poster and/or oral presentation and list any co-authors. Please also include any other relevant information you would like to share.(Required)

Participation Confirmation(Required)

Please upload a copy of your formal poster and/or presentation acceptance from conference organizers.

Drop files here or

Max. file size: 250 MB.

Acknowledgements

Acknowledgement: One-time Award(Required)

The Departmental Graduate Student Travel Stipend is a one-time award. Students who have already received this award previously are not eligible to apply for multiple Departmental Graduate Student Travel Stipends.

By checking this box, I acknowledge that I have NOT received a Departmental Graduate Student Travel Stipend in the past.

Acknowledgement: Active Participation(Required)

The Departmental Graduate Student Travel Stipend supports conference expenses associated with active participation (poster or oral presentation) at a professional meeting.

By checking this box, I acknowledge that I will be ACTIVELY presenting a poster and/or oral presentation at the conference detailed below.

Acknowledgement: Travel Request(Required)

All UConn travelers planning out-of-state or international business travel MUST ALSO fill out a UConn Travel Request Form.
Visit UConn Travel Services or email chemtravel@uconn.edu for additional information.

By checking this box, I acknowledge that I have/will submit a separate travel request through UConn Travel Services.

Acknowledgement: Accurate Information(Required)

I acknowledge that the statements and information provided above are accurate. If I have falsified any of the information above, I understand that I must repay the award fellowship amount granted.

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Department of Chemistry

Chemistry Department Travel Award Request

Your Contact Information

General Exam & Funding Sources

Conference

Acknowledgements

Undergraduate Program

Graduate Program

Faculty and Staff

Contact the Department

Phone:	(860) 486-0551
E-mail:	caitlin.e.robertson@uconn.edu

Phone:	(860) 486-2285
E-mail:	jill.bouchard@uconn.edu

Phone:	(860) 486-2012
E-mail:	chemdept@uconn.edu
Address:	55 N. Eagleville Road, Unit 3060 Storrs, Connecticut 06269-3060