University Staff Grant Application

University Staff Grant Application Form

Please fill out the following to the best of your ability.

Name*
First Last
Unit/Department*
Email*
Campus phone*
Month/year UW Oshkosh employment began*
Department account number*
Name of event*
Event date*
Registration fee*
If driving, please estimate round trip mileage
Also show calculation.
Other transportation expenses
airfare, taxi, bus, tolls, etc
Estimated lodging costs
Show date(s), location and rate.
Other anticipated costs
miscellaneous item(s) with amount
Untitled
Total event estimated cost*
Amount being requested (max. $350)*
Amount of unit/department match*
What are your objectives when participating in this event?*
How will the event benefit you and your unit /dept?*
What conferences, seminars, workshops have you attended the past two years?*
Who paid for your participation in the above events?