REIT: Research Exchange/Internship Travel Request

Research Exchange/Internship Travel Allowance Request

Please use this form to request the use of the travel allowance funds to support travel/accommodation costs related to your research exchange/internship.
Decision

ApprovedNot approved
Applicant Information
Name

First NameLast Name
Email
Institution:

York UniversityQueen's University
Level:

Master'sPhDPostdoc
Name of Your Connected Minds Supervisor

First NameLast Name

Travel Details
Departure Date*

MonthDayYear
Return Date*

MonthDayYear
Destination

Street Address

Street Address Line 2

State / Province

Postal / Zip Code
Institution
Name of Host

First NameLast Name
Email
Title
Website (if applicable)

Budget

Amount cannot exceed the following totals: Master's, $4,000; PhD, $10,000; Postdoc, $10,000.
Total Amount Requested
Please refer to the travel awards page on our for a list of eligible/ineligible expenses.

	Amount $	Description (provide a brief description of the expense)
Flight (lowest full economy fare)
Ground Transportation (i.e. taxi, train, bus)
Accommodation (single standard)

	Amount $	Description (provide a brief description of the expense, do not write "miscellaneous", per diem and meals are NOT covered by this allowance )
Other
Other
Other

Please upload a screenshot/quote of the flight. (pdf,png,jpg,jpeg)

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Please upload a screenshot/quote of the accommodation. (pdf,png,jpg,jpeg)

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Description of Planned Activities & Relation to Project

Please provide a space between paragraphs.
Describe what you will be doing during this research exchange/internship and how this relates to your project.

0/500

Letters of Support

Must be in pdf format.
Upload a letter of support from the proposed host.

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Upload a letter of support from your Connected Minds supervisor.

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Review Your Submission
Should be Empty: