Women's and Gender Studies Council Member/Faculty Travel Grant Application Form
(Print out and complete)

Name _____________________________________________________________________

Position and Rank ____________________________________________________________

Campus Address/Box # ________________________________________________________

Phone Number ______________________________

Email _____________________________________

Conference or Meeting (include title, site, and dates) ___________________________________

____________________________________________________________________________

____________________________________________________________________________

Title of Paper to be Presented _____________________________________________________

Abstract of Paper to be Presented (150-200 words; type and attach to form).

Approximate Total Cost of Travel $__________

Other Funding Anticipated $__________

Source(s) of Other Fundings ______________________________________________________

_____________________________________________________________________________

Please return to: Women's and Gender Studies
JUB 308
MTSU Box 498

Fax: 615-898-5289