Waheed Uddin Faculty/Staff Travel Grant Application

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

Applicant Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
University Email*
Select the university where you are employed*
You must be employed at one of these universities to qualify for this grant.
TriDurLE Site Director Name*
First Last
TriDurLE Site Director's Email. Note that a confirmation email will be sent to this email address upon application submission*
Supervisor's Name*
First Last
Supervisor's Email*
Travel Grant Request is for:*
Travel Grant Request is for an event that was:*
Website of conference/event*
Please state your reason for attendance and how it enhanced diversity*
Have you received, or are you applying for any other funding for this travel?*
Please enter your website profile URL. If none, please upload a resume below.
Please upload your 2-page resume if you do not have a website profile page
Accepted file types: pdf, doc, docx, Max. file size: 195 MB.
Please scan and upload your receipts for this trip on one document. If receipts are no longer available, email Tridurle@gmail.com for an exception.
Drop files here or

Accepted file types: jpg, png, pdf, doc, docx, Max. file size: 195 MB, Max. files: 3.
Please list each reimbursement request, including name and amount*