Dissertation Research Travel Award Application
UCLA Graduate Program in English
Personal Information
First Name
*
Last Name
*
UID
*
email
*
Address 1
*
Address 2
City
*
Zip Code
*
Research Information
Subject of your research
*
Research Institution to be visited
*
City.
*
State
Country.
Travel Start Date
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-
Month
-
Day
Year
Date
Travel End Date
*
-
Month
-
Day
Year
Date
Expense Information
(Transportation, Lodging, Conference Registration Only - Actual or Estimated)
Cost of Airfare
Cost of Car Rental
Cost of Lodging
Cost of Other Ground Transportation
Cost of mileage
Cost of Other Expense(s)
Description of Other Exoense(s)
TOTAL EXPENSES
*
Additional Information
I have also applied to another organization for funding.
*
Yes
No
Name of organization
Funding received?
Yes
No
Don't know yet
Other amount received
Note: Receiving funding from other agencies,departments, centers, etc., will not reduce your departmental award unless the sum of awards received were to exceed the total travel cost.
Research Abstract
Research abstract
*
Select File
Cancel
of
Please attach
one-page research abstract signed by your doctoral committee chair. File size limit: 20 MB.
Additional Comments
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