Travel Fellowship Application

Applications must be received at the NSTU Central Office on/or before 4:00 p.m. on the first Wednesday in April.

Part A: Background Information

Professional or NSCC number:

Name:

Address:

City/Town:

Province:

Postal Code:

School Campus:

Description of Assignment:

School/Campus Phone:

Home Phone:

Cell:

Email:

Fax:

Contract Status:

Permanent

Probationary

Term

Travel Destination:

Part B: Program Description

Dates of Travel:

Event Attending:

*As a separate attachment, typed with headings clearly labelled, please complete the following:
B1. Description of travel: (include PERSONAL agenda overview and area of focus.)
B2. In detail, explain how this experience will enhance your professional growth.

Estimated cost of accommodations:

Estimated cost of meals:

Estimated cost of travel:

Other estimated costs:

TOTAL estimated costs:

List other sources of revenue:

Amount applied for:

Amount granted:

Amount requested from Travel Fellowship (not to exceed $475.)

Upon submitting this application you certify that the above information is correct, to the best of your knowledge.

Verify you are not a robot