Travel Award Application Name* Date* MM slash DD slash YYYY Applicant's email* Status*Undergraduate StudentGraduate StudentPost-docDepartment or Major/minor(s)* Advisor's email* Name, location, and date(s) of conference* Estimated Costs (please include expense types and $ amounts)*Please detail any other funds that are available to you to cover the costs of this conference (i.e., a graduate school or department travel award).Please describe the work you will be presenting and in what format (i.e., orally or in poster)*If applicable, who was your faculty PI/mentor?Please provide their name, department, and email How was this work directly supported by IBACS?*Examples: IBACS seed grant, graduate fellowship or undergraduate award.What was your specific role in the research project?*I have completed or intend to complete the IBACS affiliate membership formNote that undergraduates cannot affiliate with IBACSYesNoEmailThis field is for validation purposes and should be left unchanged.