Graduate Student Travel Award

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Minimum Requirements for Eligibility: Graduate Student Travel Award 2016-2017 The applicant must provide travel-related information in a timely basis to the administrative staff and complete the UTRGV Authorization for Student Travel Form with the Dean of Student s office. The travel award is only open to graduate students. The maximum for each award is $500. Students can use the proceeds to attend multiple conferences / workshops. Students can qualify for multiple awards, but priority will be given to students that have not previously been awarded. Must normally be a full-time graduate student, enrolled in a minimum of 9 credit hours. Students in their final semester and registered for 6 or more credit hours or enrolled in only thesis/dissertation course(s) will be eligible. If a student drops courses after receiving the scholarship and is thus no longer fulltime, he/she will be ineligible for future scholarships in this category. Applicants must be in good academic standing. The applicant must be participating at the conference / workshop as a presenter or panelist. Awards will not be given for students attending conferences / workshops as observers. Travel must be to a conference / workshop related to the applicant s program of study. The scholarship award must be used for a conference / workshop within the academic year in which it is granted. Students can apply for an award after attending a conference in the current academic year but must submit receipts to substantiate their application. A student that has made arrangements to travel in the future but has already prepaid can also apply for funding. Students must contact Corporate Travel at 1-866-366-1142 to request a quote first. You should book all travel through Corporate Travel unless a cheaper rate is found elsewhere, but the Corporate Travel quote must be attached to your travel receipts for reimbursements. Consider using Concur Online Travel which is one of U.T. System s on-line booking reservation tools. An icon is located through my.utrgv.edu, itravel.

Application Deadline: For fall awards October 30 th For spring awards February 1 st For summer awards May 27 th The due date is for priority consideration and applications received after the date may be considered. Required Application Materials: 1. Completed application form 2. Attach a copy of conference / meeting acceptance letter 3. A brief outline (500 1,000 words) of the paper or poster to be presented 4. A letter of support from advisor / faculty indicating how the trip will contribute to your program of study. Return your application to (electronic submissions are encouraged): UTRGV Graduate College 1201 W. University Drive, MASS 1.158 Edinburg, Texas 78539 956-665-3661 gradcollege@utrgv.edu UTRGV Graduate College One West University Blvd. Brownsville, Texas 78520 Sabal Hall Classroom Building 1.202 956-882-6552 gradcollege@utrgv.edu For more information: Mari E. Stevens, Administrative Coordinator UTRGV Graduate College mari.stevens@utrgv.edu

CONTACT INFORMATION GRADUATE STUDENT TRAVEL AWARD APPLICATION Student Name First Name Last Name UTRGV Student ID Address Phone Email Address EDUCATION Graduate Program Expected Graduation Current Graduate Cumulative GPA TRAVEL REQUEST Destination Conference or Meeting Name Conference / Meeting (s) In two or three sentences, describe how this trip will advance your program of study: STUDENT CERTIFICATION & SIGNATURE I understand that the information submitted in my application packet will be used by the scholarship committee to make a decision on the scholarship award and I authorize UTRGV to verify the information that I have provided. I certify that the information submitted for consideration of the scholarship award is complete and correct and understand that the submission of false information is grounds for rejection of my application or withdrawal of any offer of acceptance. I understand that if selected, it will be my responsibility to provide travel information to the administrative staff in a timely basis and to complete any required forms with the Dean of Student s Office. Signature

Student Travel Guidelines Student Travel The purpose of the Student Travel policy (STU 01-300) is to set forth University rules and procedures regarding student and pre-college University program participant travel and to comply with The University of Texas System policy and state law (Texas Education Code 51.950) relating to student travel. University students may travel off campus when representing a student organization, University department, or engaging in intercollegiate competition or academic activities. Examples of student travel include, but are not limited to, class field trips and assignments; attendance at scholarly or professional conferences; University-funded student organization travel; class trips for educational or cultural enrichment; athletic, student publication, dramatic, music, or forensic competition or performances; student leadership conferences; placement forums; and graduate school visits. Travel by students is most commonly associated with the work of sponsoring faculty members such as participating in assigned practica or rotation experiences, conducting field studies, and attendance and/or presentations at professional organizations. In these situations, it is the responsibility of the sponsoring faculty member and his or her department or other university sponsor to assure that students traveling on their behalf are aware of travel rules and regulations. If any currently enrolled UTRGV student or registered Student Organization must travel to attend an activity or event that is located more than 25 miles away from a UTRGV campus from which travel will originate; and Travel to the activity or event is planned or funded and undertaken using a personal vehicle, rental vehicle, public transportation (plane, bus, etc.) or a vehicle owned, rented or leased by the University. Attendance at the activity or event is required by a registered student organization and approved in accordance with this Policy. The following forms must be completed: Authorization for Student Travel Form A Release and Indemnification Agreement Form for each student attending. If more than ten (10) students are in attendance a list of names plus student identification numbers should be included in the packet. Please submit the forms to the Office of the Dean of Students, Brownsville-Cortez Rm. 204 or Edinburg-University Center Rm. 323 no later than ten (10) business days prior to departure date.

Travel Tips: Each group must designate a Travel Coordinator who is responsible for submission of all travel documentation and will ensure all necessary information is completed on all UTRGV Travel Forms. When possible, the advisor or groups sponsor should travel with the group and serve as travel coordinator. All drivers for any student travel must have a valid Driver s License. As per policy, driver may not drive longer than four (4) continuous hours without a scheduled rest stop. The rest stop must last a minimum of 30 minutes before that same driver may resume driving. Total driving time within a 24 hours period may not exceed 8 hours per authorized driver. Driving shall not occur between the hours of 11:00pm and 6:00am without prior approval from Environmental Health, Safety, and Risk Management. In case of an accident, the Travel Coordinator or designee responsibility is for contacting University Police Department Ph#: (956) 665-7151 or (956) 882-8232 who will notify the appropriate personnel. All registered students involved in a vehicle accident are required to visit with Student Health Services upon their return, regardless of the extent of any injury incurred. Note: Pre-college University program participants that are not enrolled at UTRGV are not eligible for medical care at Student Health Services. Prior to leaving, each group must receive a pre-trip orientation, which must include: Applicable rules of conduct as per the University s Student Conduct Code and the Student Travel Policy; Itinerary and contact information; Safety issues while traveling and while at the destination point. Parents/guardians of participants of pre-college University programs will receive pre-trip orientation information as per the program s guidelines. Students who use their own vehicle or another privately owned vehicle for approved travel are expected to follow all safety requirements set out in the Student Travel policy. In addition, the student s personal auto insurance will be primary at all times when the student uses their vehicle for University travel. All students who travel with a group are required to stay with that group throughout the duration of the trip. Pre-college University program participants who are not enrolled as students at the University must abide by the policy and procedures for their program. Refer to STU 01-300 Student Travel in the Handbook of Operating Procedures for additional information. Office of the Dean of Students Cortez 204-Brownsville University Center 323-Edinburg (956) 882-5141 (956) 665-2260 dos@utrgv.edu

AUTHORIZATION FOR STUDENT TRAVEL FORM THE UNIVERSITY OF TEXAS RIO GRANDE VALLEY DEAN OF STUDENTS Email: dos@utrgv.edu Brownsville Office: Cortez 204 Edinburg Office: UC 323 Phone: 956-882-5141 Phone: 956-665-2260 Please fill out form and return to the Office of the Dean of Students, at least 10 business days prior to the trip. Incomplete travel packets will not be accepted. I. Requestor Information: The requestor is the only individual who will receive notification upon approval of this trip. Name of Requestor: Position/Title: This individual will be responsible for issuing out approved form to appropriate departments : Office Phone: Department/Organization: Notification upon approval: Fax: OR Email: II. Trip Information: Must be in compliance with Student Travel Policy located in Handbook of Operating Procedures, Section 5.6.3 (s) of Travel: Departure date Return date Location: Purpose of Trip: City, State (please include Country if international trip) Place of visit: Departing Campus: Total number of Travelers: Number of Undergraduate Students: Number of Graduate Students: Type of Transportation: Please select those which apply Number of Non-Students Participants: Number of Minors: Personal Vehicle University Vehicle Rental Vehicle: Company Public Transportation: Type (plane, bus, etc.) Company Expenses Information: Please fill if applicable Expenses paid by: Account No. (If University Account): III. Faculty/Advisor Approval: A Release and Indemnification Agreement Form must be attached for each student. This person should be able to answer questions in case of an emergency: Name of Trip Coordinator: Cell Phone #: 1. 2. Faculty Member / Advisor s Name Faculty Member / Advisor s Signature Check list: For Office Use Only; Please Initial Received by: date Information Complete Logged Scanned Emailed Faxed Filed Important: Applicants submitting the International Form are required to collect the date and initials below prior the submission of the form. International Oversight Committee (IOC): & Initial: International Programs and Partnerships (IPP): & Initial: Approved Revised 08/2015 Signature of Dean of Students' Designee

RELEASE AND INDEMNIFICATION AGREEMENT FORM: INTERNATIONAL TRAVEL THE UNIVERSITY OF TEXAS RIO GRANDE VALLEY DEAN OF STUDENTS Email: dos@utrgv.edu Brownsville Office: Cortez 204 Edinburg Office: UC 323 Phone: 956-882-5141 Phone: 956-665-2260 P lease complete and return to your assigned Travel Coordinator. * PARTICIPANT INFORMATION Please select the one which applies: Adult Student Adult Non-Student Minor Participant * Name: * Student ID: * Address: Street Address Apartment/Unit # City State Zip Code Country * Phone #: * Email: PARENT/GUARDIAN INFORMATION ONLY IF MINOR PARTICIPANT-Under 18 years of age Name: Address: (If different from Minor Participant s) Street Address Apartment/Unit # City State Zip Code Country Phone #: Relationship: * Location: * Travel (s): Country State City * Description of Activity or Trip: * 1. I, the above named student, am eighteen years of age or older and have voluntarily applied to participate in the above Activity or Trip. I acknowledge that the nature of the Activity or Trip may expose me to hazards or risks that may result in my illness, personal injury or death and I understand and appreciate the nature of such hazards and risks. I acknowledge that there may be additional hazards and risks associated with international travel that is involved in this Activity or Trip. * 2. I understand that the Institution strongly recommends that I obtain health insurance to meet any and all needs for payment of medical, hospital, medical evacuation and repatriation costs while undertaking this Activity and understand that the Institution cannot and does not assume any legal responsibility for payment of such costs. * 3. I understand that the Institution in no way represents, or acts as agent for any entity including any foreign University, the transportation carriers, or other suppliers of services connected with this Activity. Additionally, I understand that should I have legal problems with foreign nationals or the government of the host country that I am solely responsible for resolving the matter and the Institution is not responsible for providing any assistance. * 4. In consideration of my participation in the Activity or Trip, I hereby accept all risk to my health and of my injury or death that may result from such participation, the transportation, and any independent research or activities undertaken as an adjunct thereto, and I hereby release the above named Institution, its governing board, officers, employees and representatives from any liability to me, my personal representatives, estate, heirs, next of kin, and assigns for any and all claims and causes of action for loss of or damage to my property and for any and all illness or injury to my person, including my death, that may result from or occur during my participation in the Activity or Trip, whether caused by negligence of the Institution, its governing board, officers, employees, or representatives, or otherwise. I further agree to indemnify and hold harmless the Institution and its governing board, officers, employees, and representatives from liability for the injury or death of any person(s) and damage to property that may result from my negligent or intentional act or omission while participating in the described Activity or Trip. * 5. I HAVE CAREFULLY READ THIS AGREEMENT AND UNDERSTAND IT TO BE A RELEASE OF ALL CLAIMS AND CAUSES OF ACTION FOR MY INJURY OR DEATH OR DAMAGE TO MY PROPERTY THAT OCCURS WHILE PARTICIPATING IN THE DESCRIBED ACTIVITY OR TRIP AND IT OBLIGATES ME TO INDEMNIFY THE PARTIES NAMED FOR ANY LIABILITY FOR INJURY OR DEATH OF ANY PERSON AND DAMAGE TO PROPERTY CAUSED BY MY NEGLIGENT OR INTENTIONAL ACT OR OMISSION. This Agreement shall be construed in accordance with the laws of the State of Texas, which shall be the forum for any lawsuits filed under or incident to this Agreement or Activity. *(Adult Student Adult Non-Student Minor Participant) Signature of Participant Signature of Witness August 2015 (Only if Minor Participant) Signature of Parent/Guardian Signature of Witness * Information must be completed or the entire packet will be returned. If traveler is a minor Parent/Guardian information must be completed.