Travel Grant Application Please complete the form below. Travel Application Form 1. Name(Required) First Last 2. UFID(Required) First 3. Email(Required) 4. Name of Advisor(Required) First Last 5. Is your mentor a contributing UFDI member?(Required) Yes No 6. Have you ever received a UFDI travel grant?(Required) Yes No If you answered 'Yes' to Question #6, when?(Required)(Applicants are ineligible to apply if they received an UFDI travel grant during the same or previous fiscal year to the proposed travel date. The fiscal year runs from July 1 through June 30.)7. Degree(Required) M.S. Ph.D. 8. Expected Graduation Date (Semester/Year):(Required)9. Travel Start Date(Required)10. Travel End Date(Required)11. Presentation Type(Required) Oral Presentation Poster Presentation 12. Research Type(Required) Preliminary Final 13. Content(Required) Research conducted for thesis/dissertation Research conducted for other purposes 14. Conference Name(Required)15. Conference Location(Required)16. Conference is:(Required) Regional National International The UFDI offers $2000 per fiscal year17. Estimate Budget(Refer to fa.ufl.edu/departments/travel)Airfare Mileage* ($0.445/mi) Meals ($36/day) Registration State contract car rental***Only if using own vehicle; includes gas allowance and “wear and tear” on vehicle. **Avis or Enterprise state rate only. Lodging Total Estimated Cost: 18. Additional Funding:(Required)(provide email confirmation of other applications) Drop files here or Select files Max. file size: 125 MB. 19. Will your advisor be providing additional travel funds via research grants or other funds?(Required) Yes No Unsure 20. Have you received or applied for other travel grants for this trip?(Required)(Please refer to https://www.fa.ufl.edu/departments/travel/) Yes No 21. Total Amount of Funding Already Awarded $ 23. Number of Events Attended(Required)Please enter a number less than or equal to 100.24. Research Abstract:(Required)Please provide your abstract as it was submitted to the conference.25. Essay:(Required)How does this research relate to diabetes? Please limit to approximately 250 words.