Funding Resources Name* First Last PeopleSoft Number and NetID*What would you like funding for?*Choose oneAcademic ConferenceEducation AbroadResearch OpportunityOtherPlease describe the research opportunity*Please describe what you would like funding for*Conference Name*Education Abroad Name*Conference Dates*Education Abroad Dates*Conference Location*Education Abroad Location*Registration Deadline*Registration Fee*Tuition Fee*Housing Fee*Cost of Meals (not provided with registration)*Travel Fee*Other FeesOther funding sources you have applied forPersonal Contribution*Total LSAMP Funds Requested*Central to our mission is conducting research. Please explain what research opportunities you will have while abroad.*Justification for spending LSAMP funds: What benefits (personal, academic, professional) will you gain through participation in this event?*What LSAMP activities have you participated in or plan to participate in?*Please include any other pertinent informationPlease include any necessary filesMax. file size: 250 MB.CaptchaCommentsThis field is for validation purposes and should be left unchanged.