Arkansas State University Graduate Student Council
Travel Fund Application
Must be submitted no later than the 15th of the month before your travel date
All fields must be completed on all three pages. Incomplete applications will not be reviewed. Make a copy of the Application for your record.
A. General Information
Applicant Name (print): ______
Phone Number: ______
Email Address: ______
Degree Sought: ______Expected Graduation Date: ______
Department: ______Department Office Phone: ______
Faculty Contact Name: ______
(This person must be aware of your travel plans and willing to sign off on your Travel Voucher)
Have you received previous travel assistance funding from the GSC? ______
If yes, date received ______amount received $ ______
All students must inquire with their own department and or college, and the graduate school regarding funding assistance.
Have you checked with your department first for funding? (circle one) Yes No
Have you checked with the graduate school for funding? (circle one) Yes No
Are you receiving additional funding from other on-campus sources? (circle one) Yes No
What amount of funding (if any) are you receiving and from where are you receiving it?
______
** This information will be verified before a decision is made
**Please attach your approval/denial email from your department or the graduate school.
B. Conference or Research Information
Name of Conference or Research Location: ______
______
Sponsor of Conference (if known): ______
Title or Description of Presentation/Research: ______
______
City and State or Country of Conference: ______
Meeting Dates: ______to ______Date of presentation: ______
By signing the following, you are acknowledging that it is your responsibility to know and to follow all of the established Travel Fund Guidelines and that failing to follow the guidelines will forfeit your ability to be awarded additional GSC Travel Funds for the remainder of your enrollment at Arkansas State University-Jonesboro.
ASU Student Id# □□□□□□□□
ASU Student Signature ______
C. Expected Expense Log
Please fill out and attach a TA form to this application. The form can be found on the ASU
Webpage. Click the A-Z index and search “T” for Travel Office. On the Travel Office page, click Forms and select Travel Authorization.
D. Purpose of Travel
Please describe your work, and how this conference or collection of research data will benefit your educational experience as a graduate student at ASU-J. Attach a copy of your typed description along with this form.
For Office Records:
Graduate Student Council, Room 204 & 205, International Student Center, 870-680-4818
GSC TFA-2014.08
Arkansas State University Graduate Student Council
Application received on …………….. Application received by ………………
Amount awarded …………….……… Additional comments …………………
Graduate Student Council, Room 204 & 205, International Student Center, 870-680-4818
GSC TFA-2014.08
Arkansas State University Graduate Student Council
Graduate Student Council, Room 204 & 205, International Student Center, 870-680-4818
GSC TFA-2014.08