Travel Award Application Date* MM slash DD slash YYYY Name* First Last 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)*Note that you must be primary presenter. IBACS will not fund two people from the same lab presenting on the same project/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 IBACSYesNoCommentsThis field is for validation purposes and should be left unchanged.