W & M Undergraduate Science Education and Research Program
Sponsored by the Howard Hughes Medical Institute
 
STUDENT CONFERENCE TRAVEL AWARDS
This is not a functional form and any information entered into it will not be submitted.
Please to access the appropriate application form.
Application Term:         Year:  
Student's First Name:         Middle Initial:         Last Name:  
W&M User ID:  [WMUserID]    
BANNER ID:  [BannerID]		    EMAIL Address:  
Local Address:         Local Phone:  
Major:       Declared
  Intended    
   Expected Graduation Date:  
      Year:  
Overall GPA:
List all science courses & grades received:
   
Student's Future Plans:
    Short-term (within the next year - if still in school, indicate ongoing research plans):
    Long-term career goals:
Title of Presentation:         (Please indicate Talk    Poster)   
Statement of research experience:
Your statement of research experience should describe: the research projects in which you have participated, indicating the faculty advisor(s) on the project(s) and the length of your involvement; your role in the research you will be presenting at the conference; and a list of any other publications or previous presentations.    
(Please double space between paragraphs. It's ok to use the "enter" key inside this field.)
   
A copy of the submitted abstract. Be sure to include all Authors; copy and paste from original application or re-type exactly as submitted.
(Please double space between paragraphs. It's ok to use the "enter" key inside this field.)
   
Intended Outcome of Research Project (for example, Honors Project, Publication, or Presentation):
   
Sponsoring Faculty Member:   First Name:      Last Name:  
   Department:         Phone Number:         E-mail:  
Specific information on the conference:
   Title:      Date:      Location:  
Total Dollar Amount Requested:  
 
Budget:   The budget should detail the specific travel and conference expenses for which you are requesting support. (If you are driving your vehicle to the conference, the appropriate mileage rate to use is 27¢ per mile.) The program will not normally fund requests in excess of $400.
(Please double space between paragraphs. It's ok to use the "enter" key inside this field.)
   
Please list any other previously successful or currently pending Minor Research Award applications from the College:
   
Electronic Applications are due
by 5:00pm on the date stated on the HHMI Application Deadline website.
For more information, contact the W&M HHMI Science Education Grant Program Director, Professor Margaret Saha
(221-2407 or mssaha@wm.edu) or visit www.wm.edu/hhmi/stu_res.html.