Application for Travel Assistance to the 251st National Meeting in San Diego, CA.
Name of University Applying for the Travel Grant
Federal Tax ID Number /EIN (Note: this is a 9 digit number typically listed as XX-XXXXXXX. You can obtain it from your university's accounting department. If you do not list it, your application will not be considered)
Complete the section below with your chapter's FACULTY ADVISOR's information. Please note, we need your faculty advisor's CAMPUS mailbox information. We will NOT send grant checks to personal addresses.
Address Line 2
Does your chapter currently have an ACTIVE status with ACS? To have an active status your chapter MUST meet all of the following: 1) Submitted a chapter report within the last 3 years, 2) have at least six(6) paid members, and 3) have a faculty advisor.
Please list 6 student members from your chapter and their ACS Member Numbers. Please
for a list.
ACS Student Member Name 1
ACS Student Member Number 1
ACS Student Member Name 2
ACS Student Member Number 2
ACS Student Member Name 3
ACS Student Member Number 3
ACS Student Member Name 4
ACS Student Member Number 4
ACS Student Member Name 5
ACS Student Member Number 5
ACS Student Member Name 6
ACS Student Member Number 6
This grant requires at least one student from your chapter be presenting a research or chapter activities poster. Please enter at least one of the student's names and poster numbers.
Student Poster Presenter Name 1
Student Presenter Poster Number 1
Student Poster Presenter ACS Student Member Number 1
Student Poster Presenter Name 2
Student Presenter Poster Number 2
Student Poster Presenter ACS Student Member Number 2