Student Travel Awards Form

Applicant First Name*

Last Name*

Phone Number*

Email*

Street Address*

Street Address Line 2

City*

State/Province*

Zip Code*

Country*

Current University or Technical College*

Do you qualify for travel assistance from any other source?*

Yes

No

Outline current financial assistance you receive for your education*

Estimated dollar amount needed to travel to Logan, Utah, USA (include lodging):*

Describe your financial need (reason for applying for this assistance):*


Describe your interest in the Small Satellite Conference and how it will help you achieve your educational and career goals.*


Have you submitted or plan to submit an abstract to present at the conference, or enter the student competition:*

Yes

No