VIGRE TRAVEL FUNDING REQUEST FORM


NAME: ________________________________________________________________

DATE:  ________________________________________________________________

POSITION IN DEPARTMENT (Circle one):        graduate student        postdoc        faculty (TAG Program)

FUNDING PURPOSE (Provide a one paragraph description of the nature of the conference/workshop/meeting that you plan to attend. Include the benefits from your participation.):

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________


ARE YOU GIVING A TALK?                           YES                  NO

    If so, please state the title: _________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

AMOUNT REQUESTED (List all of the costs necessary to attend the meeting, including travel and lodging. Meals will typically not be reimbursed.):

 


 

 


                                    Total amount requested: _________________

 

Please submit this form to the VIGRE Director, Professor Dan Nakano [nakano@math.uga.edu].