Travel Award Form — Center for Integrative Environmental Health Sciences

Your Name:

Your pronouns:

Your E-Mail Address:

Department

PI/Mentor:

Current position:

Meeting Name:

Meeting Location:

Meeting Dates: mm/dd/yyyy-mm/dd/yyyy

Requested Travel Award Amount (Up to $500): The following link will help estimate travel cost https://www.gsa.gov/travel/plan-book/per-diem-rates

Estimated Airfare:

Estimated Hotel:

Estimated Registration:

Estimated Ground Transportation:

Estimated Meals:

What other Travel Awards have you applied for?:

How much was the requested award amount(s)?:

Have any been awarded?:

If yes, how much has been awarded?:

Attach a one-page cover letter from the trainee that includes: Justification for the need for the travel award, Description of why it is important for the applicant to attend the meeting and how this will help their scientific development, and Statement on how the meeting aligns with the goals of CIEHS (https://louisville.edu/ciehs/about-us-1).

Attach a one-page letter of support from the applicant’s supervisor/mentor that addresses: Their support for the travel award and meeting attendance by their trainee & the financial need for the travel award.

Please attach abstract must list title, all authors and affiliations, text of abstract and grant acknowledgments.

Please attach abstract acceptance form