Meredith Undergraduate Research Program
Travel Grant Request
Total Amount Requested: ______________
Destination: __________________________________________
Dates of Travel: ___________________________
____ Check here if travel is related to your participation in the UROP Program.
Purpose of Travel (i.e., how is travel associated with your research?):
Itemized Expenses (for automobile travel, calculate 32.5 cents per mile):
I __am __am not requesting or receiving funds from another Meredith source to support this travel. If applicable:
a) identify that source: ______________________________________.
b) indicate how much you are requesting or receiving from that source: _________.
I understand that receipts will be required for reimbursement of expenses up to the approved amount, or that documents detailing known expenses must be submitted with a request for a travel advance.
Your signature:______________________________________ Date:_______________
Print your name and email: _______________________________________________
For Faculty Members: For Students:
Your Department:_____________________ Your Major(s):__________________
Your telephone:_________________ Expected Graduation (mo)___ (yr)____
Your preferred mailing address: Your telephone: ______________
Your preferred mailing address:
If you are a Meredith student, your request also requires the signature of a professor who is supervising your research and/or travel.
Faculty signature: ____________________________________
Print Faculty Name and Academic Department:___________________________________