Division 45 Conference Travel Recommendation Form

Division 45: Society for the Psychological Study of Culture, Ethnicity, and Race Application for Student Travel Funds Faculty Recommendation Form

Thank you for recommending a graduate student for the Division 45 Conference Travel Award. Please fill out this application to provide us with more information regarding your proposal. If you have any questions or concerns, feel free to contact the Division 45 Travel Scholarship Committee at apadiv45.scholarship@gmail.com. Please complete this form by Friday, July 1 (11:59 p.m. PST)

Your Name

Date

Your affiliation (department, program):

Your Email Address *

Applicant's (Student's) Name

Relationship to the Applicant (e.g., professor, advisor, site supervisor):

How do you believe this applicant would benefit from attending the APA Convention?

Using the rating scale provided please rate this applicant and provide comments for your ratings to help us understand your support for this applicant. *

	Strongly Disagree	Disagree	Neither Agree or Disagree	Agree	Strongly Agree
The applicant has a consistent record of interest in ethnic minority issues in research or practice
The applicant has a record of leadership roles related to ethnic minority researcher, community work, or organizations.
The applicant has demonstrated a commitment to continuing research or practice with minority communities.
The applicant has the potential for leadership in her/his area of research or practice.
The applicant would be able to fulfill the attendance requirements of the award.
The applicant would be able to fulfill the written synopsis requirements of the award.
The applicant has demonstrated the potential to make a significant contribution in the area of graduate student leadership in APA, community work, or other organizations related to psychology or its practice.