Travel Award Application Name*Date* Date Format: MM slash DD slash YYYY Applicant's email* Status*Undergraduate StudentGraduate StudentPost-docDepartment or Major/minor(s)*Advisor's email* Location and date(s) of conference*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 IBACSYesNo