Graduate Student Virtual Travel Award Application

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Use this form to apply for a Graduate Student Virtual Travel Award.

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電子郵件 *

Applicant's Name *

Applicants SJSU ID # *

Applicant's Phone Number *

Applicant's Mailing Address (for mailing reimbursement checks) *

Applicant's Graduate Program (e.g. M.S. Software Engineering, M.F.A. Creative Writing, Credential, Single subject, etc.) *

Applicant's Department (e.g. Computer Engineering, English and Comparative Literature, Teacher Education, etc.) *

Applicant's Faculty Mentor, Advisor, or Chair. (Enter the person most familiar with how your travel will benefit your education. This person will be asked to approve the travel). *

Name of Webinar/Event *

Website of Webinar/Event *

Cost to Participate in this Virtual Program (i.e. registration fee) *

Webinar/event Host City, State, Country (if known)

Date of Webinar/Event (if any)

YYYY

Brief Purpose of Your Participation *

To collect data or other information for a research or creative project related to my graduate studies.

To present the results of my research or creative project at a webinar/event.

To attend a webinar/event related to my graduate education at which I am not presenting.

其他：

Please describe how your participation will benefit your graduate education. *

Any other information you would like the reviewers to know about this request?

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