Graduate Student Travel/Research Grant Follow Up Form

LACIS Graduate Student Travel Grant Follow-up Evaluation Form

"*" indicates required fields

Name

This field is for validation purposes and should be left unchanged.

Today's Date:*

Your Name:*

First Last

Your Email Address:*

Please provide a brief synopsis of how you utilized the funds LACIS awarded to you and how our support contributed to your academic research, knowledge, etc.*

Would you be williing to be featured on the LACIS Blog or LACIS social media?

YES

Feel free to upload any photos or supporting documents that you wish to share.

Max. file size: 24 MB.

Please note: If you answered yes to the previous question, please upload a photo of yourself OR a photo from your experience.

Do we have your permission to share your photo(s), if applicable, on our website or blog?

YES