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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

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