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Funds to Travel for Development Request

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

Name
Email
Retype Email
 
Workshop Information:
Description of workshop to be attended: (include program flyer*)
How will the workshop benefit your program of research:
What product will you create as a result of this workshop:
 
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.

Thank you.

 
   
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