Page 1 of 1
XY2 Foundation Travel Grant Application
APPLICANT INFORMATION
Full name
*
Email
*
Institution/Affiliation
*
CONFERENCE DETAILS
Conference name
*
Conference dates
*
Conference location
*
Conference website
*
PRESENTATION
Presentation title
*
Presentation type
*
Abstract or description
*
Proof of acceptance
*
Click to choose a file or drag here
Size limit: 10 MB
RESEARCH RELEVANCE
How does this research relate to Earth or planetary sciences?
*
TRAVEL BUDGET
Airfare estimate
*
Lodging estimate
*
Registration fee
*
Ground transportation
Total amount requested
*
FUNDING DISCLOSURE
Other confirmed funding for this trip
*
Other pending/anticipated funding
*
Source(s) of other funding
DECLARATION
*
DECLARATION
I confirm I am not a disqualified person (officer, director, substantial contributor, or close family member of the Foundation)
Submit