Form for Kansas Corequisite Symposium Travel Stipend

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Form for Kansas Corequisite Symposium Travel Stipend

First Name:

Middle Initial:

Last Name:

E-mail Address:

Phone Number:

Institution:

Coverage & Expense Guidelines

Travel Allowance

Travel Stipend applicable for hotel, mileage, and meals
Travel Stipends are up to $100
Submission deadline: November 13, 2026
Reimbursement requires W9

Attendance & Submission Process

Eligibility: Participation for the Kansas Corequisite Symposium is required for stipend eligibility
Institution or Individual Reimbursement: Stipends can be paid directly to the participant or the participant's institution.
Submission window: You may submit your stipend request as soon as October 23, 2026, but no later than November 13, 2026.
Check processing: Stipend checks will not be issued until after the Kansas Corequisite Symposium
Timeline: Allow 4-5 weeks after the conference for the review, approval, and check mailing.

Contact Information: If you have any issues, please contact kscoreqsymposium@bartonccc.edu.

Make Check payable to:

Me personally

My organization

Please indicate which expense you incurred for travel to the symposium:

Meals

Hotel

Mileage

Hotel expenses:

Meal expenses:

Hotel receipt

Mileage expenses:

Meal receipt

W-9 form:

NOTE: The document file cannot exceed 25 Mb and must be one of these file types:
- PDF file
- image file in .jpg, .gif, or .png
- Word file (.doc, .docx)

By filling out this form, you are agreeing to the following:

I certify that the information provided above is true and accurate, and that these travel expenses were incurred to participate in the Kansas Corequisite Symposium.
I confirm that I attended the conference and am eligible to receive the travel stipend.
I understand that all receipts and documentation are subject to verification, and any false or misleading information may result in denial of stipend.
I acknowledge that this stipend request and all supporting documentation must be submitted within the deadline
I understand that processing may take 2-3 weeks for approval, plus an additional 1-2 week for check delivery.

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