Request Form for Student Travel

The Center for Ethics and Public Engagement reserves a portion of its endowment funding to support student scholarship.  The amount of funding available in each academic year is dependent on a variety of factors, including the state of the endowment and the other demands upon it in a given year.

** Before you request funds from the CEPE, we ask that you first request funds through the Dean's Office.

Funding decisions are made by the CEPE board, which meets monthly.  Please make your request with enough notice for the board to discuss your proposal at their next monthly meeting.  As you complete this form, if you have questions, please contact the CEPE Director, Victoria Christman, x1071.

 

* = required field

Student Name:*
Email:*
Faculty/Project Advisor Name:
List related class, department, and intructor if applicable:
Event/Conference Date:*
Please explain how the requested funds would be used (Be as specific as possible):*
Are you attending the event as a participant or presenter?
Please complete the following budget questions, including sums that will be sought from other sources:
Travel Costs:
Lodging Costs:
Food Costs:
Other (Please Explain):
Total Expenses:*
What other sources of funding are you pursuing? (Indicate whether the funding applications have been submitted and/or approved:
Amount Requested from CEPE:*
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