Student Travel Scholarship Application

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1st Annual Meeting of the NYS Center of Excellence in Healthy Water Solutions
A Conversation on Advances in Water Science and Technology

March 12-13, 2023

SUNY ESF, Syracuse, NY

For students who would like to present at poster at the annual meeting, a limited number of travel scholarships are available. Please complete this form and a representative from the CoE will contact you to confirm if your scholarship is awarded. Funding is provided as reimbursement to you of actual expenses.

There is no fee to attend and meals are included. Register for the meeting here: www.healthywaters.org

For inquiries, contact coe@healthywaters.org or call 315-268-4017.

Email *

In order to qualify for the scholarship you must be presenting a poster. *

Link to register your poster is here: https://forms.gle/rYCEv1koaA2KEAse9

Yes, I have already registered my poster

I plan to register my poster before the March 3 due date

First Name *

Last Name *

Email *

Phone

Affiliation *

Clarkson University

Other:

Major *

Standing *

If student, state major.

Freshman

Sophomore

Junior

Senior

Graduate Student

PhD Candidate

Other:

The scholarship award is in the form of reimbursement after the meeting. Let us know what you anticipate requesting reimbursement for (check all that apply):
*

NOTE: If carpooling, only the driver of the vehicle can seek reimbursement of auto mileage. Mileage is reimbursed at the standard IRS rate which incorporates the cost of gas.

Personal Auto Miles

Overnight Accommodation

Other:

Required

Use this space to provide any additional information for the planning committee to consider:

A copy of your responses will be emailed to the address you provided.

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