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MTSU Student Travel Grant
Application Form
[print out and complete]
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Check one:
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[ ] I am a Women's
and Gender Studies minor.
[ ] I am not a
Women's and Gender Studies minor.
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Name
___________________________________
Year in School / Major
______________________________________
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 Funding
______________________________________
______________________________________________________________
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Please return to:
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Women's and Gender Studies
James Union Building 308
MTSU Box 498
Fax: 615-898-5289
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Deadlines: October 1 and February 1
each year
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