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Student Travel Funding Request Form

Please note that this form is for use of current IUB Department of Geological Sciences students only.
Name:
Email:

Meeting you plan to attend, dates, and location (if any field is blank, please type "none"):
Date:
Meeting:
Destination(City, State, Country):
Title of Paper:
Are you a Speaker/Presenter? Yes No
Co-authors:
Estimate of Expenses (if any field is blank, please type "none"):
Registration:
Transportation:
Lodging:
Other funding sources and expected amount:
Amount you are requesting (expenses less other funds):
Please list your last 3 published peer-reviewed papers:


Supporting Faculty's Name:

Send me a submit confirmation email. Yes No


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Indiana University Department of Geological Sciences
  1001 East 10th Street
Bloomington, IN 47405-1405
Phone 812-855-5582 | Fax 812-855-7899
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Last updated: 07 Mar 2008
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