Application to Request Supplemental Funding for Competition or Conference Travel

Application to Request Supplemental Funding for Conferences & Competitions

Student Information

First Name

Last Name

University ID (N followed by 8 digits)

NYU Email

Degree/Program

First Semester at Wagner

Expected Semester of Graduation from Wagner

Conference/Competition Information

Conference/Competition Name

Conference Website URL:

Location of Conference/Competition:

Country

State

City

Dates of Conference/Competition:

Start Date

End Date

Estimated Registration/Transportation Expenses (Please include a breakdown of specific forms of transportation as well as total expense estimate):

Please indicate the estimated total amount you are requesting for Registration/Transportation. (Please note: This answer should not be greater than the maximum amount of $500.)

Please explain how the conference/competition is relevant to your Wagner coursework and professional development (200-250 words):

Have you received any past funding provided by Wagner? (e.g. financial aid, scholarships, fellowships, Ellen Schall Experience Fund)

Please upload your updated resume or curriculum vitae here.

One file only.
256 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.