RISC Travel Grant Cover Page
Student Name(s) __________________________________________________________
__________________________________________________________
Student email(s): __________________________________________________________
  __________________________________________________________


Faculty Mentor(s):


__________________________________________________________

Faculty Mentor's email:
__________________________________________________________


Mentor Signature:

__________________________________________________________



Academic Department:


__________________________________________________________


Chair signature:

__________________________________________________________


College/School:

__________________________________________________________


Dean Signature:

__________________________________________________________


Title of Previous RISC Grant:

__________________________________________________________
(If you have not received a RISC Grant, write "None")


Dates of Previous RISC Grant:
__________________________________________________________
(If you have not received a RISC Grant, write "N/A")

Project/Exhibit/Performance Title to be presented:
__________________________________________________________

Conference/Meeting/ Venue/Exhibition Title:
__________________________________________________________


Location:


__________________________________________________________
(City, State, Country)

Dates of meeting:
__________________________________________________________
(mm/dd to mm/dd/yyyy)
Total Requested from RISC:



$___________________________