PAG Application - Graduate and Professional Student Senate

Name of Event*

Start Date*

End Date*

Location of Event*

I affirm any funding given will be used for professional advance travel only. *

All GPSS PAG funding must be use for travel only and in a manner that excludes consideration of personal gain. Related expenses must have a business justification and the travel must exercise reasonable judgment to ensure that travel is conducted in a cost-efficient manner.

Yes

I affirm that I understand the process of reimbursement.*

I have read the current reimbursement policy and understand I am responsible for the travel reimbursement.

Yes

I affirm the following to be true.*

I am a graduate or professional at ISO, will be registered for classes in the semester you plan to travel (in case X of summer travel registered in the previous spring semester is sufficient), and will not graduate or otherwise leave ISU prior to travel.

Yes

l affirm that funding is not guaranteed.*

I understand I am NOT guaranteed funding with the submission of this nomination. Funding is based on remaining balance available. If you have already been awarded PAG funding as a student of ISO, you will be subject to a lottery system as defined in current policy.

Yes

I affirm all the above information to be true.*

Yes

Signature*

Please type your full name.