Office of Sponsored Programs Undergraduate Conference Travel Program

Student Name

Student Major

Faculty Mentor

Department

Title of Presentation

Conference Title/Sponsoring Organization

Conference Location

Conference Dates

Total Estimated Expenses(attach detailed budget)

Financial Support from Department(attach confirmation statement)

Financial Support from College/School(attach confirmation statement)

Additional Support(amount & name of funding sources)

Please attach the letter of acceptance to the student from the conference organizers.

Send completed applications to sponsoredprograms@ipfw.edu.

For OSP use only:Amount_____________Account_____________