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Conference Support Application
Annual Curriculum and Pedagogy Conference
October 18 19, 2017
New Orleans, LA
HYPERLINK "http://www.curriculumandpedagogy.org" www.curriculumandpedagogy.org
Conference Support Application Deadline: August 15, 2017
The Curriculum and Pedagogy Group would like to invite applications for financial support to attend the 2017 Annual Conference in New Orleans. Support covers the costs of on-site hotel accommodations for up to three nights (Tuesday, Wednesday, and Thursday) of shared lodging for students or faculty.
This form is due electronically (Word or PDF) no later than August 15th, 2017 Midnight (EST) via email to Vonzell Agosto, HYPERLINK "mailto:vagosto@usf.edu?subject=C%20and%20P%20Support%20Name%20="vagosto@usf.edu, with FIRST NAME and LAST NAME in the subject line.
Please note: There are two sections to this application. 1) The Applicant Information is to be completed by a person applying for support. 2) The Faculty Member Support section is to be completed by a supporting faculty member or supervisor. Both sections must be received by the due date to be considered.
Submissions will be reviewed on a first come, first served basis. As well, those who have multiple presentations will be given priority review. Incomplete applications will not be reviewed. Applicant names will be shared with the conference Registrar to ensure registration costs have been paid prior to receiving support.
Section One: Applicant Information
Applicants NameUniversity/College/School AffiliationGraduate Program/Department/PositionMailing AddressEmail AddressSupporting Faculty/Supervisors Name and University/School AffiliationTitle of C&P Conference Proposal/s (NOTE: Applications submitted prior to notice of acceptance for the 2017 program will be considered and awarded pending acceptance):
To select your choice: Double click the box; In the dialogue box click Checked.
Top of Form
Will this be your first C&P conference? (Please check one) Yes PRIVATE "" MACROBUTTON HTMLDirect / No PRIVATE "" MACROBUTTON HTMLDirect
Bottom of Form
If no, have you received conference support previously? Yes PRIVATE "" MACROBUTTON HTMLDirect / No PRIVATE "" MACROBUTTON HTMLDirect
Please indicate years of award _______________________
Are you eligible to receive other forms of funding to attend? Yes PRIVATE "" MACROBUTTON HTMLDirect / No PRIVATE "" MACROBUTTON HTMLDirect
Please explain ________________________________________
What is your current status (e.g. course work, ABD, faculty title, etc.)?
____________________________________________________________________________________________________________________________________________________
Check the following statements as part of the conditions of the support:
PRIVATE "" MACROBUTTON HTMLDirect I understand that as a support recipient I will be sharing accommodations with other support recipients. I have indicated my roommate preference(s)* below:
Top of Form
PRIVATE "" MACROBUTTON HTMLDirect Male roommate preferred
Bottom of Form
PRIVATE "" MACROBUTTON HTMLDirect Female roommate preferred
PRIVATE "" MACROBUTTON HTMLDirect No preference
*Name of preferred roommate also applying for support: ______________
PRIVATE "" MACROBUTTON HTMLDirect I understand that as a support recipient I agree to volunteer time to help out at the conference, including running the book table and/or registration table during the conference.
PRIVATE "" MACROBUTTON HTMLDirect I understand that if I receive funding I am to confirm attendance with Vonzell Agosto, Fellowship & Awards Committee Chair, at HYPERLINK "mailto:vagosto@usf.edu?subject=Confirm or Cancel Attendance/Funding"vagosto@usf.edu, three (3) weeks prior to the conference (no later than October 1, 2017). If I do not confirm my attendance prior to the conference I understand that I may lose funding support.
PRIVATE "" MACROBUTTON HTMLDirect I understand that incomplete applications will be disqualified and that the Faculty Member Information request form of this application must also be completed/submitted by the deadline of August 15, 2017.
PRIVATE "" MACROBUTTON HTMLDirect I understand that in order to receive conference support for any given night of the conference I will have registered and paid the registration fee to attend the conference.
Please share any other information or special needs you may have for the Conference Support Committee in the space below.
Additional Information:
Would you like to participate in a mentoring session?
Yes or No:
If yes: What area(s) or question(s) would you want a mentor to address?
Signature
Date
Section Two: Faculty Member Support
I have reviewed the above information and fully support s application for C&P conference support.
Faculty/Supervisor Signature: Date:Email:
If you wish to add specific information in support of the application, please do so below.
Many thanks for your support!
This application for support is due electronically (.pdf) no later than August 15, 2017 via email to HYPERLINK "mailto:vagosto@usf.edu?subject=C%20and%20P%20Support%20Name%20="vagosto@usf.edu with FIRST NAME and LAST NAME in the subject line.
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