NOTE: You are not eligible if you have previously received an AGU travel grant. Please read eligibility requirements before completing and submitting this form.

Application Deadline: 18 FEB 2008 After this date, applications will no longer be accepted.

Entries marked (*) are REQUIRED.

* Dates you plan to attend the meeting	mm/dd/yy-mm/dd/yy
Title
* First/Given Name
* Last/Family Name
* Organization
* Organization Street Address
* City
* State/Province
Zip/Postal Code
* Country
* E-mail
Fax
Telephone
* Date of Birth	mm/dd/yy
	NOTE: Applicant's date of birth MUST be after 31 December 1973 (12/31/73) unless the applicant is a student enrolled at least half time in a degree granting institution.
* Country of Birth
* Citizenship
* Visa Status
* Highest degree received, date, and institution	i.e. Masters, 2000, UC Berkeley
* Are you now a graduate student or doctoral candidate?	No Graduate Student Doctorate Candidate
If so, provide name of the institution where you are currently enrolled
* AGU Membership No.	“None” if not a member
To be eligible for Berkner Travel Fellowship, you must be the first author and the presenter.
* Title of Submitted Abstract
* Reference Number of Submitted Abstract
* Text of Submitted Abstract
* Applicant Cover Letter	include why this fellowship is important to you
* How many AGU meetings have you previously attended?	None 1 More than 1 If 1 or more, when?
* Have you presented a paper at a previous AGU meeting?	Yes No
* Give the name, place, and approximate date(s) of other scientific meeting(s) you have attended in the last 3 years.	e.g. AGU Fall Meeting, SF CA, December 2005 “None” if this does not apply
* Do you have any prospect of other sources of funding to assist you in attending this meeting?	Yes No
* Explanation: (required if "Yes" to above)
* Faculty Advisor/Work Supervisor
* Advisor/Supervisor E-mail
* Advisor/Supervisor Telephone
Letter of Support from Advisor/Supervisor
NOTE: Travel fellowship application must be accompanied by a copy of your abstract and a supporting letter from your Faculty Advisor or Work Supervisor. A letter of support may be inserted in the form above, or sent via e-mail, fax or expedited post. In any case, the letter must be received not later than 18 FEB 2008 If using mail, return application, abstract copy, and supporting letter to AGU Attn: Berkner Travel Fellowships 2000 Florida Avenue NW Washington, DC 20009 USA Fax: +1 202 328 0566 E mail: KHansen@agu.org