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  • Additional Application

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    Laurie Kladky
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    Laura Kladky is applying for individual conference funding from the Graduate Student Senate (GSS) to attend a conference in Oxford, Mississippi from April 11-13, 2016. She is requesting $200 for airfare and $175 for hotel for a total of $375. Her advisor, Patrick Mullen, supports her application. She agrees to the terms and conditions for funding.

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    Laura Kladky is applying for individual conference funding from the Graduate Student Senate (GSS) to attend a conference in Oxford, Mississippi from April 11-13, 2016. She is requesting $200 for airfare and $175 for hotel for a total of $375. Her advisor, Patrick Mullen, supports her application. She agrees to the terms and conditions for funding.

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    © All Rights Reserved
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    26 views7 pages

    Additional Application

    Uploaded by

    Laurie Kladky
    Laura Kladky is applying for individual conference funding from the Graduate Student Senate (GSS) to attend a conference in Oxford, Mississippi from April 11-13, 2016. She is requesting $200 for airfare and $175 for hotel for a total of $375. Her advisor, Patrick Mullen, supports her application. She agrees to the terms and conditions for funding.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 7

    IndividualFundingApplication20152016

    IndividualFundingApplication

    ContactInformation

    R EQU IR ED

    FirstName
    Laura

    MiddleInitial

    LastName
    Kladky

    EmailAddress
    kladky.l@husky.neu.edu

    PhoneNumber
    4438275532

    Address
    469BeaconSt

    City
    Boston

    State
    MA

    Zip
    02115

    Validation
    Validinputmayinclude:mustbe1015digitslongandmayincludeonlynumbers,hyphens,andspaces.

    NUID

    R EQU IR ED

    Enteryour9digitNUID.
    001950609

    Validation

    9characters

    Validinputmayinclude:Numericex:1111
    Charactercountmustbebetween9and9.
    Spacesarenotallowed.
    Punctuationisnotallowed.

    College/School

    R EQU IR ED

    SocialSciences&Humanities
    Validation
    Validinputmayinclude:mustselectavalue.

    DegreeProgram

    R EQU IR ED

    DoctoralDegree
    Validation
    Validinputmayinclude:mustselectavalue.

    FundingPeriod

    R EQU IR ED

    Inordertochoosethefundingperiod,pleasematchthebeginningdateofyourconferencetothemonths
    establishedforeachfundingperiod.Forexample,ifyourconferencestartsonJuly30thandendsonAug4th,
    chooseFundingPeriodI.IfyourconferencestartsonJuly1standendsonJuly5th,alsochooseFundingPeriod
    I.
    201516PeriodI(IfyourconferenceisinJun/Jul2015)
    201516PeriodII(IfyourconferenceisinAug/Sept2015)
    201516PeriodIII(IfyourconferenceisinOct/Nov2015)

    201516PeriodIV(IfyourconferenceisinDec2015/Jan2016)
    201516PeriodV(IfyourconferenceisinFeb/March2016)
    201516PeriodVI(IfyourconferenceisinApril/May2016)

    ConferenceName

    R EQU IR ED

    NA

    Validation

    2characters

    Charactercountmustbeatleast3.

    ConferenceLocation(City/State)

    R EQU IR ED

    Oxford/Mississippi

    Validation

    18characters

    Charactercountmustbeatleast6.

    ConferenceStartDate

    R EQU IR ED

    Fillindateoftravelifdifferentthanconferencedate
    Apr11,2016

    ConferenceEndDate

    R EQU IR ED

    Fillindateoftravelifdifferentthanconferencedate
    Apr13,2016

    Pleaseindicatetypeofparticipationinconference:
    PosterPresenter
    Panelist

    R EQU IR ED

    Paper/ResearchPresenter
    Speaker
    GeneralAttendee
    Other
    Validation
    Validinputmayinclude:mustselectavalue

    HaveyoureceivedGSG/GPSAfundinginpastyears?

    R EQU IR ED

    Yes
    No

    HaveyouappliedforGSGconferencefundingthisacademicyear?

    R EQU IR ED

    Yes
    No

    Pleasedecribeyoursourcesoffundingandwhyyourdepartment/schoolisnotfundingyou:

    R EQU IR ED

    IrequirefinancialassistancetovisitOxford,MississippiandviewtheRowanOakPapers.Iamcompleti

    AdvisorName

    R EQU IR ED

    PatrickMullen

    Validation

    14characters

    Charactercountmustbeatleast2.

    AdvisorEMail

    R EQU IR ED

    PleasealsosubmitanAdvisorConfirmationForm,availableontheGSGwebsite
    p.mullen@neu.edu

    Validation
    Validinputmayinclude:name@myschool.edu

    AdvisorConfirmationForm

    R EQU IR ED

    Pleaseattachyouradvisorformhere.THEFORMMUSTINCLUDEYOURADVISOR'SSIGNATURE.
    Youdonothavetomailoremailthisformtousseparately.
    Themaximumsizeofafileuploadis20MB.

    FirstBudgetItem(Type)

    R EQU IR ED

    73021Airfare
    Validation
    Validinputmayinclude:mustselectavalue.

    FirstBudgetItem(AmountUSD)

    R EQU IR ED

    PleaseentertheamounttothenearestwholeDollar.
    PleasenotethatyourtotalamountrequestedshouldNOTexceed$375.
    200

    Validation

    3characters

    Validinputmayinclude:Numericex:1111
    Charactercountmustbebetween1and3.
    Spacesarenotallowed.
    Punctuationisnotallowed.

    SecondBudgetItem(Type)

    R EQU IR ED

    73027Hotel
    Validation
    Validinputmayinclude:mustselectavalue.

    SecondBudgetItem(AmountUSD)

    R EQU IR ED

    PleaseentertheamounttothenearestwholeDollar.
    PleasenotethatyourtotalamountrequestedshouldNOTexceed$375.

    175

    Validation

    3characters

    Validinputmayinclude:Numericex:1111
    Charactercountmustbebetween1and3.
    Spacesarenotallowed.
    Punctuationisnotallowed.

    ThirdBudgetItem(Type)

    R EQU IR ED

    Select

    ThirdBudgetItem(AmountUSD)

    R EQU IR ED

    PleaseentertheamounttothenearestwholeDollar.
    PleasenotethatyourtotalamountrequestedshouldNOTexceed$375.
    0

    Validation
    Validinputmayinclude:Numericex:1111
    Charactercountmustbebetween1and3.
    Spacesarenotallowed.
    Punctuationisnotallowed.

    FourthBudgetItem(Type)

    R EQU IR ED

    Select

    FourthBudgetItem(AmountUSD)

    R EQU IR ED

    PleaseentertheamounttothenearestwholeDollar.
    PleasenotethatyourtotalamountrequestedshouldNOTexceed$375.
    0

    Validation
    Validinputmayinclude:Numericex:1111
    Charactercountmustbebetween1and3.
    Spacesarenotallowed.
    Punctuationisnotallowed.

    TermsandConditions

    R EQU IR ED

    Ihavecompletedthisformaccuratelytothebestofmyknowledge.IalsoattachedanAdvisorConfirmationForm.
    IAgree

    TermsandConditionsII

    R EQU IR ED

    Ihavereviewedthe"IndividualConferenceFundingPolicy"availableat:
    http://nuweb4.neu...
    Yes

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