Qualtrics Survey | Qualtrics Experience Management

Last Name

First Name

Please specify the purpose of the trip.

Please provide the following information: conference name, date of travel, and city and state where the conference will occur

Please provide a detailed explanation of your reasoning for attending this conference and how you plan to represent the school. Please include how it relates to your career/academic development.

Please provide Your budget proposal for the trip.

I acknowledge that the Registrar's Office will confirm that I am in good academic standing by maintaining at least a 2.25 GPA and am not on disciplinary, academic, or clinical probation or have a permanent letter on file.

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