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Return form to: Request Number ________

Division of Research and Sponsored Programs Date Received ________


117 Cartwright Hall Awarded ________
Denied ________

UNIVERSITY RESEARCH COUNCIL


PROFESSIONAL CONFERENCE SUPPORT REQUEST
(for Dissemination of Research and Scholarship)

Name: ___Irina Dzero__________________ Date: ______9/16/2013_______

Department: __Modern and Classical Languages and Literatures__ Phone: ____(850) 264-7108_

Faculty Rank: __Assistant Professor of Spanish________________________

Purpose of Travel: __Presentation of a conference paper

Destination: _Cleveland, OH Professional Association: Cleveland State University

Your Role: __Presenter Dates of Meeting: October 11-13, 2013

Travel Costs:
Transportation: $ ___120_____

Lodging: $ ___0_______

Food: $ ___30____

Registration: $ _____125__

Other (Itemize): $ __________

TOTAL COSTS: $ __________

Amount Available from Other Sources:


Department/School/College/Campus: $ __________

Other Funding (Identify) _____________________________ $ __________

Amount Requested from Research Council: $ __$275___

Faculty Member Signature_________________________________________________________

Participant Checklist:
1. Purpose is dissemination of scholarship and research _X_____
2. Recognized professional association __X____
3. Documented participant (attach copies) __X____
4. Request is within Research Council's limits (see below) __X____
=================================================================================
NOTES
1. Half the funds available for conference travel will be set aside for each semester. Applications will be
accepted up to three months in advance for conferences during the period July 1 to December 31, and for
those during the period January 1 to June 30.
2. This support is to be used to assist in the dissemination of the results of scholarship and research. Faculty can
apply for no more than one conference, either domestic or international, within an academic year.
Documentation of participation from the organization should be included. Only the actual presenter of
multiple-authored papers can be supported.
3. Support is limited to a maximum of $500.

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