Graduate School, Office of the

Provost

USC Graduate School Travel/Research Award Signature Page

Please upload the completed form with your application.
Student Name: ______________________________________________________________________
Fellowship: __________________________________________________________________________

1. Faculty Advisor
I support this request for a Travel/Research Award and certify that the proposed project or conference
contributes to the students research and professional development.
Advisors signature: ___________________________________ Date: ___________________________
Advisors printed name: ________________________________________________________________

2. Chair of the Department

I support this request for a Travel/Research Award and certify that the proposed project or conference
contributes to the students research and professional development.
______ the program WILL match the graduate schools travel award with $500, in which case the
Graduate School will contribute another $500, for a total of up to $1,500 available to the student.
_____ the program will NOT be able to match the graduate schools travel award, in which case a total
of $500 will be available to the student.
Chairs signature: _____________________________________ Date: ___________________________
Chairs printed name: __________________________________________________________________
3. Dean of the School (or Deans proxy)
(In the Dornsife College of Letters, Arts and Sciences, please forward to Kim Allen in the Office of the Vice Dean for
Academic Programs with a copy of the 500 word narrative. In the Viterbi School of Engineering, please forward to
Jennifer Gerson in the Office of Graduate and Professional Programs).

I support this request for a Travel/Research and certify that the proposed project or conference
contributes to the students research and professional development.
Deans signature: ___________________________________

Date: ___________________________

Deans printed name: __________________________________________________________________

Revised: October 9, 2015