Graduate Student Travel Scholarship Application Graduate Student Travel Scholarship Application Section A: Introduction •Graduate Student Travel Scholarships are available for full-time graduate students to present their research (either orally or as a poster) at a conference. •Students are only eligible for one Graduate Student Travel Scholarship per fiscal year (July 1 - June 30). •The applicant must be registered for the semester in which the travel is intended. •Scholarship amount is dependent on the number of applicants. The minimum scholarship amount is $100, and the maximum scholarship amount is $300. •If eligible, complete this application no later than one month prior to the first day of the conference. •The applicant is required to submit a proof of conference registration and the acceptance letter for the paper/poster. •The applicant must have his/her major professor fill out the Proof of Major Professor Support/Certification Form. The applicant cannot submit this form without the Major Professor Support/Certification Form. • Responses to this form will be reviewed by the CCEE Graduate Student Council. Expect a response in approximately two weeks. •Please note: use of a non-secure browser will result in problems uploading pdfs to this form. In order to access this form without issues, make sure you are using a secure browser with the prefix https:// •If eligible, complete and submit this application. Your application will be received by the ISU CCEE Graduate Student Program Coordinator. Section B: Scholarship EligibilitySection B: Item 1*1. Will you be enrolled as a full-time graduate student, who is not classified under “continuous registration” as defined in GSS Bill 95-05, in the CCEE department at the time of the conference? Yes No Sorry. You must be a full-time graduate student to be eligible. Section B: Item 2*2. Are you the first author of either an oral or a poster presentation? Yes No Sorry. You must be the first author of either an oral or a poster presentation to be eligible. Section B: Item 3*3. Will you be giving either the oral or the poster presentation? Yes No Sorry. You must be the graduate student presenting this work to be eligible. Section B: Item 4*4. Have you received this scholarship during the current fiscal year (i.e., started on July 1)? Yes No Sorry. If you received this scholarship during the current fiscal year, you are not eligible for this scholarship. Section C: Funding from Graduate and Professional Student SenateSection C: Item 1*5. Are you eligible for a Professional Advancement Grant from the Graduate College and the Graduate and Professional Student Senate (GPSS)? See the GPSS website. Yes No Section C: Item 1.1*Since you answered “no” to question 5, please indicate why you are not eligible. Section C: Item 1.2*Since you answered "yes" to question 5, have you applied for a PAG and received a response from the Graduate College and GPSS? Yes No Section D: Student InformationName* First Last Email Address* Enter Email Confirm Email Degree seeking* MS PhD Anticipated Graduation Semester* Fall Spring Summer Graduation Year*2018201920202021202220232024202520262027202820292030Major professor* First Last Anticipated thesis or dissertation title* Section E: Conference and Presentation InformationConference Name* Conference Location* City, State (If applicable) AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Meeting Start Date* Year Month Day Meeting End Date* Year Month Day Title of oral presentation or poster* Attach a confirmation of acceptance and copy of the abstract accepted (pdf files only). Please note: use of a non-secure browser will result in problems uploading pdfs to this form. In order to access this form without issues, make sure you are using a secure browser with the prefix https://* Drop files here or Select files Accepted file types: pdf, Max. file size: 50 MB, Max. files: 3. Attach completed Proof of Major Professor Support/Certification Form (pdf files only). Please note: use of a non-secure browser will result in problems uploading pdfs to this form. In order to access this form without issues, make sure you are using a secure browser with the prefix https://* Drop files here or Select files Accepted file types: pdf, Max. file size: 50 MB, Max. files: 3. Section F: Conference ExpensesConference Registration Cost* Quantity*Flight to Conference Cost* Quantity*Flight from Conference Cost* Quantity*Transportation to/from Airport Cost:* Quantity*Meals Cost ($40/day is standard):* Quantity*Lodging Cost:* Quantity*Other Costs (Explain below): QuantityExplanation of other costs:Total $0.00 Section G: Student CertificationInitial below: To the best of my knowledge and belief, this application and attached documents are true, correct, and complete. By initialing below, I acknowledge that the CCEE Graduate Student Council may disqualify me from any future travel scholarship applications should they find information provided above to be grossly misleading or false.*Date of initial* Year Month Day CAPTCHA