SUNY Brockport Travel Support Application to SURC 2025 - Page 1 of 3

SUNY Brockport Travel Support Application to SURC 2025

Please fill out this mach form to apply for the Brockport SURC Travel Fellowship.

DUE by March 15

We are pleased to announce that the Provost's office will be supporting a student cohort, with accepted projects for presentation, to attend in person the 2025 SURC (SUNY Undergraduate Research Conference) at SUNY Binghamton on Monday, April 28, 2025 (Travel to start on Sunday and return Monday)

The university will fund the registration fee and travel costs. In order to apply for a fellowship, you must be enrolled in the Spring 2025 semester.

The presenting students must agree to and sign the SURC 2025 Commitment Statement.

NOTE: Submitting this form does not register you for the SURC conference. This application is ONLY for the Brockport SURC Travel Fellowship. Before or after submitting this mach form, students must submit their abstract to SURC. Abstract submissions to SURC are also due by March 15.
(See Abstract Guidelines & Submission below).

1SURC 2024 Travel Support Application > 2Commitment Statement > 3Review Your Entry
Applicant Name Applicant Name First Middle Last
In order to make travel arrangements, your entire name is necessary as it appears on your photo ID used for travel.
Applicant Email
Birth Date Birth Date / MM / DD YYYY

This is required by airlines as part of travel arrangements to the conference.
Gender

Gender Male Female Non-binary / transgender

This is necessary for hotel room assignments.
Applicant Cell Phone Applicant Cell Phone - ### - ### ####

Useful for travel and conference day contact.
Have you presented at SURC before?

Have you presented at SURC before? Yes No
Do you anticipate graduating during the current academic year?

Do you anticipate graduating during the current academic year? Yes No
Are you a student in the McNair program?

Are you a student in the McNair program? Yes No
Faculty Mentor Name Faculty Mentor Name First Last
Faculty Mentor Email
Faculty Mentor Department/Program
Do you have faculty mentor approval to submit an abstract to SURC?

Do you have faculty mentor approval to submit an abstract to SURC? Yes No
Still working on your abstract? Need help?

Besides your faculty mentor, Dr. Markus Hoffmann is available to provide feedback and revision prior to submission.
Please email your abstract to ionman@brockport.edu to receive comments. Allow up to a week for a response.
SURC 2025 Abstract Guidelines & Submission

https://cpd.suny.edu/surc/proposal-information/
Please confirm!

Please confirm! I have submitted or I understand that it is my responsibility to submit an abstract to SURC. I understand that the abstract submission must have been proofread and approved by my research mentor. I understand that if I have to create a SURC account that I will need the account ID and password at a later time to register for the conference.
Are there additional performers as part of this presentation?

Are there additional performers as part of this presentation? Yes No
How many additional performers?