Please paste this application to a Word Document. Complete the application and email the completed application to: PsiAlphaOmega@comcast.net. Applications MUST be emailed by midnight December 15, 2009 to be considered.

Period covered by the travel awards is February 1, 2009 and January 1, 2009.

Applications will be rated by three judges (two faculty members and one student). Those receiving travel awards will be notified by January 8, 2009.

Three awards will be available for up to $300.00 each to help offset travel to psychology conventions/conferences. Awards will be presented at the respective convention and awardees must attend the convention to receive their travel award.


Name:

Address:

Phone Number:

Email:

When was your Psi Alpha Omega application date (found on the Members Page):

Faculty Contact (Name, Email, and Phone Number):

Which convention are you requesting funds to attend?

Please provide a breakdown of your expected expenses (travel, lodging, registration, meals, etc.).

Why have you selected this convention to attend and how will any monies awarded be utilized?

Will you be presenting a paper/poster at the convention? If so what is the title of your paper/poster. Please attach your abstract.

Are you a student member of Division 45 of the American Psychological Association?