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Stipend Application
InTeGrate Presentation Stipend
Complete the form below to apply for an
InTeGrate
Presentation Stipend. The InTeGrate project has limited funds to help support the dissemination of InTeGrate principles and materials by qualified speakers. Because our funds are limited, we encourage you to first pursue possible sources of funding on your campus, such as your department chair, dean, center for teaching and learning, or other faculty professional development programs. To be supported by this funding, a participant must be either a U.S. citizen, a permanent resident, or in the employ of a U.S. institution. Presentations must be made prior to November 30, 2018.
Click on SUBMIT to send this application. Be sure to hit the SUBMIT button before leaving this page or your information will be lost.
Stipend Application Deadlines and Maximum Stipends
Stipends of up to $500 are available. Please allow one to two weeks for review of your application.
Presentations must be made prior to November 30, 2018.
Presenter Information
Your full name used for federal income tax information:
Your email address (same as used in the workshop application, if possible):
Institution
Department
Presentation and Event Information
Conference/workshop for which you are seeking funds:
Presentation Title
Briefly (1-3 sentences) describe your proposed presentation (e.g. the impact of Climate of Change module on student learning in my course).
Home Address
We will send the stipend award check to your
home
(not work) address, matching the address used for federal income tax information.
Residence street address:
City:
Select a State:
Please select:
Not Applicable
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Georgia
Hawaii
Iowa
Idaho
Illinois
Indiana
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code:
Budget
Itemized budget, as applicable
(please enter numbers only, rounded to the nearest dollar). Please note that we do not cover costs for lodging, food, or baggage fees.
Workshop Registration Fee:
Airfare cost (Not including food or baggage fees):
Total funds requested ($500 is the maximum amount that can be requested and awarded)
Existing funds available to you (e.g., Department funds, Dean's office, your institution's Teaching and Learning Center):
Please describe other sources of funding you have explored or acquired.
Optional Comment Box:
Name
Email
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