GRADUATE AWARDS - Howard University, Graduate School

PERSONAL INFORMATION
NAME
SBES Research / Travel Award Application
LAST FIRST MI
STUDENT ID GENDER MALE FEMALE
RACE/ETHNICITY
ADDRESS
__________________________________________________________________________________
STREET
MOBILE PHONE
CITY STATE ZIP CODE
EMAIL
TRAVEL AWARD ELIGIBILITY INFORMATION
DEPARTMENT/MAJOR
CUMULATIVE GPA
FACULTY MENTOR
ITEMIZED BUDGET OF PROPOSED EXPENSES
DESCRIPTION OF EXPENSE
AMOUNT
TOTAL AMOUNT REQUESTED
CONFERENCE/MEETING INFORMATION
NAME OF
CONFERENCE/MEETING
LOCATION OF
MEETING/CONFERENCE
(CITY, STATE)
DATES OF
MEETING
ATTENDANCE
SIGNATURE/AUTHORIZATION
I certify that the information provided in this application is
accurate. I agree to allow the SBES Program to track my
academic progress through surveys, focus groups, etc.
I certify that I have read this application. I agree to serve as
faculty research mentor for the student named above.
Student Signature
Faculty Signature
Date
Date
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