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Research Office: Funds for Travel to Present Research/Scholarship Request

Please complete the following form and click Submit to request funds for travel to present your research/scholarship. Then email your abstract, acceptance letter and itemized budget form to the Health Restoration department chair.

* indicates a required field.

*Name
*E-mail
*Retype E-mail

Research/Scholarship Information:

Description of Research/Scholarship to be Presented: (include abstract*)
How was the paper selected: (include letter of acceptance**)
Audience:
Place:
Date:
Budget***:
Total Cost of Trip:
Total Amount Requested:
Note to Department Chairs:	Forwarding the submitted information to the Office of Research will designate your approval for funding.