The ICGD Faculty Travel Award

Name First Last
Title and Rank
Department
College
Phone - (###) - ### ####
Email
I. Activity: Presenting or conducting original research/creative activity at a conference OR participating in a refereed scholarly workshop.
Title of Conference or Workshop
Location and Dates
Title of Paper/Creative Activity/Project
Description of Activity
From Date: / MM / DD YYYY
To Date: / MM / DD YYYY
Concisely describe the importance of the proposed activity to your professional development in regards to the ICGD's Mission.
II. Expenses - A cost estimate of the proposed activity.
Total Expenses $ . Dollars Cents
Honorarium or payments from other sources for the proposed activity $ . Dollars Cents
Amount Requested ($500 Maximum) $ . Dollars Cents
III. Abstract of Your Paper/Creative Work (Up to 250 Words)

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