Program Assistance Fund Application TRAVEL Organization Information Full Name of Organization: President’s Name: Email: Advisor’s Name: Email: # of Members: Cost Center #: Current On-Campus Current Off-Campus Account Balance: Account Balance: Applicant Information Name: Email: UTA ID #: Phone #: Referred to the Program Assistance Fund by: Travel Information Name of Conference / Seminar: Date(s): Location: Mode of Transportation (must be by airplane, bus, or train): Purpose of Trip (If presenting a paper or research, please list topic. If participating in a competition, please list the competition): Are you presenting or receiving an award at this conference? If so, what is the award / presentation? What will be the value-added benefit to the University community of this travel?
Program Assistance Fund Application TRAVEL Organization Information Full Name of Organization: President’s Name: Email: Advisor’s Name: Email: # of Members: Cost Center #: Current On-Campus Account Balance: Current Off-Campus Account Balance: Applicant Information Name: Email: UTA ID #: Phone #: Referred to the Program Assistance Fund by: Travel Information Name of Conference / Seminar: Date(s): Location: Mode of Transportation (must be by airplane, bus, or train): Purpose of Trip (If presenting a paper or research, please list topic. If participating in a competition, please list the competition): Are you presenting or receiving an award at this conference? If so, what is the award / presentation? What will be the value-added benefit to the University community of this travel?
Program%20Assistance%20Fund%20Application%20Travel.docx