TRAVEL ASSISTANCE APPLICATION

PERSONAL INFORMATION
FIRST NAME: PERMANENT ADDRESS: CITY: PHONE: ST: ZIP: E-MAIL: COUNTRY: LAST NAME:

EDUCATIONAL BACKGROUND
CURRENT COLLEGE / UNIVERSITY: SCHOOL ADDRESS: CITY: ADVISOR: ST: ZIP: CLASSIFICATION: COUNTRY: GPA:

STUDENT POSTER SESSION PARTICIPANTS

ARE YOU A PRESENTER IN THE STUDENT POSTER SESSION? HAVE YOU BEEN ACCEPTED INTO THE STUDENT POSTER SESSION? IS THIS YOUR FIRST YEAR TO PARTICIPATE IN THE STUDENT POSTER SESSION? HOW MUCH FUNDING DO YOU HOPE TO RECEIVE FROM THE NACE FOUNDATION TO ASSIST WITH TRAVEL EXPENSES? HOW MUCH ADDITIONAL FUNDING DO YOU EXPECT TO RECEIVE FOR TRAVEL EXPENSES? WILL YOU BE ABLE TO ATTEND THE CONFERENCE WITHOUT TRAVEL ASSISTANCE FROM THE NACE FOUNDATION? YES YES YES NO NO NO

$ $
YES NO

NACE FOUNDATION SCHOLARSHIP RECIPIENTS

WHAT IS THE NAME OF THE SCHOLARSHIP RECEIVED? HOW MUCH FUNDING DO YOU HOPE TO RECEIVE FROM THE NACE FOUNDATION TO ASSIST WITH TRAVEL EXPENSES? DO YOU EXPECT TO RECEIVE ANY OTHER FUNDING FOR TRAVEL EXPENSES? WILL YOU BE ABLE TO ATTEND THE CONFERENCE WITHOUT TRAVEL ASSISTANCE FROM THE NACE FOUNDATION?

$ $
YES NO

By returning this Form to the NACE Foundation, I attest that I have read the Travel Assistance Guidelines and understand that if I am selected to receive assistance: I must attend the Scholarship Awards Ceremony in person on Wednesday at 11:30 in the Center Lounge Area of the Exhibit Hall in order to receive my travel assistance certificate (photo ID required). I must be a current NACE Foundation scholarship recipient or enrolled in the Student Poster Session; I authorize the NACE Foundation to use my name and photo for publicity purposes.

Signature of Applicant

________________________ Date

NOTE: Applications received after the deadline will not be considered. There will be no exceptions. APPLICATION DEADLINE: FEBRUARY 1