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Stony Brook IRACDA Application for Conference Travel Support
When our budget allows, Stony Brook IRACDA will provide limited funding to support the professional development and training of Scholars. Please complete this form to assist us in planning for these expenses.
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* Indicates required question
Email
*
Your email
Conference and Participation Information
Name of Conference Attending:
*
Your answer
Scholar Information
Name as it appears on ID used for travel
*
Your answer
Option 1
Clear selection
Cell phone you will be using when you travel
*
Your answer
Deadline for Conference Registration
*
When do you need to know about funding decisions for this trip?
MM
/
DD
/
YYYY
Sponsoring/Lead Organization:
*
Your answer
Meeting Location:
*
City, State, Country
Your answer
Please explain the importance of your attending this meeting, especially if you are not presenting.
*
Your answer
Your Planned Attendance Dates
*
From
MM
/
DD
/
YYYY
*
To
MM
/
DD
/
YYYY
How will you be participating?
*
Check all that apply.
Giving a Talk
Poster
Other presentation
I am not presenting at this meeting
Other:
Required
Attendance, Lodging Costs
Please provide information on anticipated conference expenses. If traveling internationally, provide information in US dollar value.
$ Total Registration Cost
*
Your answer
$ Abstract Fee (if applicable)
*
Your answer
$ Lodging Cost
*
Single
Shared
$ Cost Per Night
If shared, enter only actual amount you expect to spend per night.
Your answer
*
Total # Nights
Your answer
$ Total Lodging Cost
*
Your answer
Food and Miscellaneous Expenses
Please adhere to the meal and per diem guidelines outlined by the Stony Brook Travel Office at:
http://www.stonybrook.edu/procurement/employees/travel/per_diem.shtml
$ Total Food / Per Diem over entire trip
*
Your answer
$ All expected ground transportation expenses
*
Your answer
$ Other Costs
*
Your answer
Explanation for other cost
Your answer
Main mode of transportation to/from conference city
*
Airplane (Please contant Program Manager, NY-CAPS can pre-pay airfare.)
Railroad/ Subway (Please contact Program Manager, NY-CAPS can pre-pay Amtrack reservations.)
Automobile (Personal)
Automobile (Rental)
Other:
Required
$ Cost of main mode of Transportation, above
*
Excluding ground transportation
Your answer
Total Budget for Trip
Please add above items for $ total trip budget
*
Your answer
Additional Funding Sources
Please list any other funds for which you have applied or will be receiving in support of this conference travel. Including the Funding Source, The amount, and whether it is approved or pending approval.
Funding Source 1
Name
Your answer
Funding Source 1
Approval Status
Pending
Approved
Clear selection
Funding Source 1
$ Total Amount
Your answer
Funding Source 2
Name
Your answer
Funding Source 2
Approval Status
Pending
Approved
Clear selection
Funding Source 2
$ Total Amount
Your answer
A copy of your responses will be emailed to the address you provided.
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