Funding for Travel to Professional Conferences and Events Form

* = required field

Your Name:*

Your Email:*

Your Class Year:*

Additional Attendes (names, emails, and class years):

Purpose of Request (conference/event and dates):*

Please explain how this conference/event relates directly to your career development and preparation (max 500 words):*

Cost break-down:

Lodging:

Airfare/Transportation:

Ground Transport (bus, taxi):

Other (please specify):

TOTAL REQUESTED:*

Are you requesting funding from another source?*

	Yes
	No

If yes, from whom and how much?

Will the conference/event provide any reimbursement for your expenses?*

	Yes
	No

If Yes, how much?

I give the Career Center my consent to conduct a check of financial need with the Office of Student Financial Services to determine my level of need.*

	Yes
	No

I give the Career Center my consent to conduct a reference/background check related to academics and conduct with the Carleton College Office of the Dean of Students. I understand that any information found will be used in the selection process.*

	Yes
	No

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Career Center

Funding for Travel to Professional Conferences and Events Form

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