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Conference Registration Request

Complete this form to request QSB's financial assistance to pay for your conference (only eligible for conferences from July through December).

This form will close on Monday 5/18 (11:59 PM). This financial assistance will count as your travel award for 26-27.

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First Name *

Last Name *

Email *

Faculty Advisor *

Conference Name *

Conference Date *

Month

Day

Year

Website for Registration *

What registration category should be used for you? *

If possible, please provide a screenshot of the registration form with how it should be completed:

The following link shows an example of what to upload here: https://ucmerced.box.com/s/y3ff95bkeq29yk9rrcw4kl0iy8axgj7e This would be really helpful for QSB Staff to set up your registration!
Files must be less than 24 MB.
Allowed file types: jpg jpeg png pdf docx.

By submitting this form, you are confirming this request for QSB to pay for and set up your conference registration. *

Please note this will count for your travel award AY26-27.

Yes, I confirm the above and would like to proceed with submission.

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Conference Registration Request

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