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Magellan Voyager Application

Application Form
Current Semester/Year: *   
Student (1) Information
Student Name: * (F)  (MI)  (L)
USC ID: *
Find your USC ID (letter+8 digits) by logging into the "View my IDs" application.
Email: *
Local Phone: * ie. xxx-xxx-xxxx
Birthdate: *   /     /  
Select all that apply: SCHC       Capstone Scholar       Trio
McNair/OSP       Magellan Scholar       Mini-Grant recipient
Magellan Guarantee       Magellan Explorer      
Campus: *
Major: *
Major 2 / Minor:
Academic Year: * 1   2   3   4+
 
Mentor Information
Mentor Name: * (F)  (L)
Email: *
Campus: *
College: *
Department: *

Event Information
Name of Event: *
Event Web Address: *
Type of Meeting: * Regional   National   International
Location of event: * (city) , (state/country)
Dates you will be attending the event: * (from) - (to)
Names of others involved in your project attending the event:
Title of Presentation: *
Author(s):
Presentation Type: * Poster   Talk/Oral
Other:
Please upload the following: A short letter explaining why you want to attend this meeting (less than one page): *
(.doc, .docx, .pdf only)

Budget Information

Please review the Additional Notes, Terms, and Conditions on the Magellan Voyager website.

Transportation: * (method)
Provide estimated cost of plane ticket including source (ex. Expedia, Travelocity, etc).
For personal vehicle, state [estimated mileage] x [current reimbursement rate: see here
Total Transportation:  
Lodging:
Provide name of chosen hotel, [cost per night] x [number of nights].
Total Lodging:  
Other Expenses:
List all anticipated expenses with estimated cost, including Registration Fee
and Ground Transportation (shuttles, taxies, etc.)
Total Other Expenses:  
Total:  
List of other sources of funding and amounts (note which are pending or approved):
Total Other Funding:  
Total requested for Voyager award (Total minus other funding):  

By checking this box, you confirm your agreement to abide by the Terms and Conditions of the Magellan Voyager Award as outlined on the webpage.

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