Confirmation Form for Susan Gay Conference Travel Scholarship Application

Your Name *

Email *

(please use an official email address)

Applicant's Name *

(full name of the graduate student who applied for the scholarship)

Applicant's Email Address

(Optional.) If provided, a notification will be automatically sent to this email address with the details of your form submission.

Confirmation of Scholarship Eligiblity *

Yes, I am an adviser or committee member supervising the applicant and can confirm the applicant is enrolled and making steady progress toward completion of a doctoral degree program in mathematics education or a related field (e.g., curriculum and instruction).

Other (please specify)...

Confirmation of Scholarship Eligiblity Other (please specify)...