Student Travel Grant Pre-Authorization | National Center for Transportation Infrastructure Durability & Life-Extension (TriDurLE)

^{Washington State University} _{National Center for Transportation Infrastructure Durability & Life-Extension (TriDurLE)}

Please complete the form below for your travel funding pre-authorization.

Student Applicant Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Student University Email*
Are you currently enrolled as a graduate or professional student?*
- Yes
- No
Are you a member of a minority group?
- African American
- Asian American/Pacific Islander
- Alaskan Native
- Hispanic/Lantinx
- Native Hawaiian
- Female in physical sciences, engineering, or mathematics
- None
University Affiliation*
Faculty Mentor's Name*
First Last
Faculty Mentor's Email. Note that a confirmation email will be sent to this email address upon application submission*
Travel Grant Pre-Approval Request is for:*
Travel Grant Pre-Approval Request is for an event that will be:*
Website of conference/event*
Please state your reason for attendance and how or if it will help promote diversity*
Please upload your 2-page resume*
Accepted file types: pdf, doc, docx, Max. file size: 195 MB.