Travel Stipend Application

Student Travel Stipend Awards Application

Please complete the following information to apply for the Turner Designs Student Travel Stipend Awards. You will be notified if a stipend will be awarded within one week of receipt of your application.

Note: The entire application form must be completed to qualify for the program

Fields marked with * are required.

Full Name *

Institution *

Department *

Address (line 1) *

Address (line 2)

City *

State / Province *

ZIP / Postal Code *

Country *

Telephone *

E-mail *

At what meeting will you be presenting? *

Please indicate the date you will be presenting (mm/dd/YYYY) *

Abstract as submitted: *

Have you submitted an application for the Student Stipend Awards Program before? *

Yes

If so, on approximately what date did you apply? (mm/dd/YYYY)

How did you hear about this program? *

Please specify

Additional Comments / Questions

Terms and Conditions

I understand that in the event a stipend is awarded I must give Turner Designs a soft copy or web link to presented material. I certify that I own the rights to the presented material and that no copyrights have been or will be violated. Turner Designs has my permission to post supplied material online. Upon receipt of presented material Turner Designs will issue the stipend and mail it to the address indicated on this application.

E-mail a copy of this message to your own address.