Faculty_Travel_Grant LACIS Faculty Travel Grant Application Name* First Last Department*Meeting to be Attended*Beginning Date of Meeting* MM slash DD slash YYYY End Date of Meeting* MM slash DD slash YYYY Location*Title of Paper to be Presented*Proposed Travel BudgetTransportation*Food, Lodging, Maintenance and Miscellaneous*Total*Are you eligible/have you applied for departmental funds for this meeting?* Yes, I am eligible No, I am not eligible Yes, I have applied No, I have not applied Please select all that applyPlease explain:Are you eligible/have you applied for Graduate School funds for this meeting?* Yes, I am eligible No, I am not eligible Yes, I have applied No, I have not applied Please select all that applyPlease explain:Have you received LACIS travel funds in the past 5 years? If so, give dates and amount of award*Briefly explain how this project will further your research*Briefly describe the potential audience of the project, the potential for dissemination and the prospects for publication of written work*Additional InformationIn this section you may attach/add any additional information pertinent to the application.Attachment 1Accepted file types: jog, png, pdf, doc, docx, mp3, wav, Max. file size: 2 MB.Files must be less than 2 MB. Allowed file types: jpg png pdf doc docx mp3 wav.Attachment 2Accepted file types: jpg, png, pdf, doc, docx, wav, Max. file size: 4 MB.Files must be less than 4 MB. Allowed file types: jpg png pdf doc docx mp3 wav.Web Page Email Address* CommentsThis field is for validation purposes and should be left unchanged.