BioGrads Name E-mail address Award Request Form March 1, 2015

BioGrads
Award Request Form
March 1, 2015 –February 28, 2016
Name
E-mail address
Please submit this award request and any other required documentation (see below) and questions to Ashish Gupta
agupt11@tigers.lsu.edu.
Purpose: BioGrads awards are provided to its members to defray the cost of conducting research and attending
meetings.
Eligibility
• BioGrads Members who have attended ½ of the BioGrads Meetings for the year prior to applying
Ex: If Clyde applies for an award March 13, 2010, then he must have attended ½
the meetings from March 1, 2009-March 1, 2010
• Members who have sold notes/kits 3 times since their last award and in the previous year prior to
applying
Ex: Using Clyde again, he must have sold notes at least three times from March 1,
2009- March 1, 2010, but if he received an award on December 14, 2009, he must have sold
notes an additional three times in the past year to apply again in March.
• Research or travel must occur during current BioGrad fiscal year (March 1, 2015 – February 28, 2016) and
only 1 award allowed per fiscal year.
Travel
Research
Please submit the following:
Please submit the following:
1. Attending a meeting:
A. If presenting, please submit a copy of your
1. A 150-350 word description of your
abstract (you do not have to be first author). Include
research. Include a summary of work to be
location and date of meeting.
done, dates, and location.
B. If not presenting, please submit a 150-350
2. A budget with justification (see back for
word explanation of why you are attending this meeting
example)
(give location, dates, relevance).
3. This form signed by both you and your
2. Proof of registration (e.g., copy of registration
advisor
confirmation)
3. Budget with justification (see back for example)
4. This form signed by both you and your advisor.
**Awards can be applied for up to one month after travel or research activities. Requested funds must be applied
directly to the costs associated with research or travel. Funds will be distributed directly to the student unless other
arrangements are required. Requirements are subject to change without notice. Misappropriation of BioGrads
funds will result in termination of further BioGrads funding.
By my signature, I certify that funds will be used as stated in my application:
Your signature
Date
By my signature, I certify that I have read over the application and find it true to the best of my
knowledge:
Major Professor’s Signature
Date
Rev 2015-03-24-SK
Example Budget with Justification:
Project title: Are mosquitoes attracted to vampires?
Materials: $25 – 100,000 USDA bred mosquitoes
$10 – mosquito net
$100 – Consumable materials such as, but not limited to, Type O blood, disposable gloves, and anti-itch
cream
Living Expenses: $50 – for meals during stay at research facility
Travel:
$115 – Travel to Sunnydale, CA (where research will be conducted) Total
funds requested: $300
OR
Meeting: Vampire Health Society
Registration fee: $100
Living expenses: $100-meals during stay
Travel: $100-travel to Transylvania
Total funds requested: $300
If you require a purchase order or some other arrangements, please contact Ashish Gupta.
*************************************************************************************
Date Received by Treasurer
Approved
Type of Award
Payment method:
Check #
PO #