2022 Conference Travel & Accommodation Grant Application Form 2022 GAJE/IJCLE/SAULCA CONFERENCE TRAVEL GRANT APPLICATION 1General Information2Fee Reduction/Waiver and/or Grant Request3Conference Participation4Application Justification5Declaration Family Name*NOTE: Please enter here the name that will be used to alphabetize lists of delegates (in most cases “last name” or “surname”). Given Name(s)*NOTE: Please enter here other name or names that, together with your “Family Name” entered above, will be use on the formal list of delegates (in most cases “first” or “personal” name or names). Short Name*NOTE: This should be the name that you wish other delegates to use when addressing you in person (in most cases your “first’ or “family” name, or it could be a “nickname”). Gender* Organization or Affiliation*NOTE: Please enter here the name of the primary organization or institution where you are engaged in justice education activity (university, legal clinic, NGO). Professional Title or Position*NOTE: Enter here your title or position with the organization or institution entered above (professor, director, advocate, researcher, etc.). Country*AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayNorthern Mariana IslandsOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabweEmail*NOTE: This email address will be used for all communication regarding the conference, so please enter the address that you use most regularly. NOTE ALSO: You may enter only one email address. This is because your email address will also serve as your identifier for conference management purposes. Enter Email Confirm Email APPLICATION FORM FOR ACCOMMODATION/TRAVEL GRANT NOTE: The deadline for applying for a travel/accommodations grant is 30 September 2022. NOTE ALSO: The general criteria for awarding accommodation/travel grants details are available on the website click here to open page in new windowType of Application* Accommodation grant only Travel grant only Both accommodations and travel grant Conference participation*Please indicate one of the following options I plan to attend only General Conference (12-14 Dec 2022) I plan to attend the Full Conference, including Training-of-Trainers Workshop (11-15 Dec 2022) Presenting at the ConferenceAre you among the presenters in a session proposal that has been submitted (or will be submitted) for this conference?* No Yes Title of Session* Lead Presenter for the Session*NOTE: If you are the Lead Presenter, please enter your name again Financial Situation and InformationHave you received a fee waiver for past conferences?*Please indicate if you have received a fee waiver (full or partial) to attend 1 or more previous GAJE conferences. Please click NO if this is your first GAJE conference. Yes No What percentage of your monthly wage does the conference fee represent?* Less than 25% 25% to 50% 50% to 75% More than 75% What percentage of the fee will be paid by your employer, home institution, or other sources?* None 25% 50% 75% Have you received a travel grant to attend past conferences?*Please indicate if you have received a travel grant to attend 1 or more previous GAJE conferences. Please click NO if this is your first GAJE conference. Yes No Amount of grant request (in US dollars)* Budget*NOTE please list below an estimated budget of your travel and accommodation expenses (in $US at current rate of exchange). What other sources of financial assistance do you have to help cover your expenses to attend the conference (other than the conference fee)?*NOTE: Please list any and all sources and approximate amount of support.Other sources from which you have sought funds to cover your expenses (including from your home institution) and the amounts sought.*NOTE: If you have already received other support, please list the source(s) and amount(s) of those funds.Please attach a short supporting statement outlining how you meet GAJE’s criteria for assistance to attend the conference.*NOTE: See "Criteria for travel and accommodation grants" on the conference webpage. click here to open page in new windowMax. file size: 10 MB. You can sign up for GAJE membership online. It is free and available to all persons involved in justice education. Click here Authorization to include name and contact information on List of Delegates* I agree to include my name and contact information on a published List of Delegates (applicable only for delegates who actually attend the conference) I do not agree to include my name and contact information on a published List of Delegates