Questionnaire/Application Form for

Graduate Student Travel Funds

for the 2006 Binghamton Symposium

Mailing address:____________________________________________

________________________________________________________

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Questionnaire

___ (Y/N)  I will be registered as a full-time student in an accredited graduate degree program in Oct. ‘06.

___ (Y/N)  Geomorphology, hydrology, aquatic ecosystems, or human impacts on environmental systems is a primary interest in my studies (circle one).  If not those, then another field: _______________

___ (Y/N) I plan to attend the 2006 Binghamton Geomorphology Symposium in Columbia, SC if I receive this travel award.

___ (Y/N)  I do not live in Columbia, SC (sorry all you Gamecocks!).

___ (Y/N) I will be submitting a poster abstract to be considered for presentation  at the conference. 

___ (Y/N) In will be flying to the conference (note: attach web quote for air fare cost)

I am presently studying for my ( Masters / PhD ) degree. (circle one)

            My advisor’s name is: _______________________________________

            Advisor’s signature: _________________________________________

Write a brief paragraph explaining why you want to attend, what you do in the way of research, and how attending the conference will benefit your research.  If you are presenting a poster, also attach the abstract for your poster: