Form NSF 250 NSF 250 Advanced Study Institutes Travel Award Report Form

National Science Foundation
ADVANCED STUDY INSTITUTES
TRAVEL AWARD
REPORT FORM
ASI Number

Send one copy of
the report to:

Name, Title, Department

FORM APPROVED OMB NO. 3145-0001

ASI Travel Awards, EHR/DGE - Room 907
National Science Foundation, 4201 Wilson Blvd.
Arlington, VA 22230

Institution Mailing Address

Purpose of Travel
Part 1 - Questionnaire
1. Check the appropriate block to indicate which of the following were MAJOR and SECONDARY ACTIVITIES
Major
Activity

Secondary
Activity

Not
Applicable
Attended an international scientific congress or meeting
Presented a technical paper
Participated in a colloquium or seminar
Visited scientific institutions
Represented U.S. scientific community at meeting of international
organization or professional association
Other (please describe)

2. How would you characterize the overall scientific merit of the meeting/activity?
Check the statement that is most appropriate.
o It was somewhat disappointing and I was unable to accomplish some of my original objectives.
o It was professionally rewarding and I accomplished my primary objectives.
o It was unusually productive and an important event in my scientific career.

Comment on the overall scientific merit:

3. Check the appropriate block to indicate which of the following were major results or secondary results.
Major
Results

Secondary
Results

Not
Applicable
Established useful professional contacts
Exchanged useful information relevant to my own research
Obtained and passed along information useful to U.S. colleagues
Gained access to unique research materials
Obtained material for publication
Developed plans for undertaking cooperative research project
Collaborated with a foreign counterpart on a research project
Assumed a leadership position in an international organization or
professional organization
Fostered development of the international scientific community
Continued to improve political and cultural relations among people
involved in the activity
Other (please describe)

NSF Form 250 Supersedes All Previous Editions

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Part 2 - Narrative Report
Describe the accomplishments of the travel and report any scientific activities abroad that would be of value to the
national scientific effort.

Recipients of U.S. Treasury checks and/or special foreign
currency must complete the following:

Departed From

Date

Returned To

Date

o U.S. flag carriers were used for principal transportation

o Non-U.S. flag carriers were used (indicate reasons on separate sheet)

Expenditure Information
Amount received from this grant

Amount spent for transportation

$1,000

$

Amount spent for other expenses (if provided by this grant)

Total amount spent

$

$

I certify that funds provided by this grant were spent for the
purpose of the grant.

Unused funds, if any, returned herewith by check payable to
National Science Foundation.

Signature of traveler (original signature)

Date

Attach Supplemental Sheets, if necessary