2026-2027 Cooke Conference Travel Stipend Outcomes and Expense Report

Please complete this report within two weeks of completing your conference or travel.

First Name

Last Name

Birthdate

Email Address

Phone Number

Travel Details

Name of Conference

Dates of Travel

Arrival Date

Departure Date

Travel Destination

Country

City

Region

Tell us about your experience at the conference or during your travel

What new experiences, knowledge, or insight did you gain as a result of this event?

What did you learn and/or accomplish by networking with others? With whom did you network?

Would you recommend this conference or travel experience to other Cooke Scholars?

Yes

No

Why or why not?

How has this event influenced your next steps in your career development?

Per Diem Expenses

For the per diem categories, you are given a daily allowance of $25 per day for local transportation (buses, Lyft, etc.) and $60 per day for meals. Daily allowances will only be approved for the days that were stated in your application. If your travel was shortened, please only include the allowance for the days you actually traveled. Please enter the number of days for each item. You do not need to provide receipts for daily local transportation and meals.

Did you use the full amount you were awarded for your conference and travel expenses?

Yes

No

You are required to return funds that were not spent or are not accounted for on this expense form if that amount is greater than $20.

Local Transportation (public, taxi, Uber, Lyft)
Number of Days

Local Transportation Per Diem

Meals
Number of Days

Meals Per Diem

Per Diem Subtotal

Itemized Expenses

For the other categories (transportation, lodging, conference fees, etc.), please list the cost of the expenses below and provide itemized receipts for each item. Airline, conference, and lodging receipts must be in your name. If you traveled by car, please provide a route map to document your mileage. Multiply the total miles by the rate of $0.725 per mile. Please note that JKCF does not accept gas receipts.

Transportation (to/from airport, airfare, train, mileage)

Transportation Description

Lodging

Lodging Description

Conference Registration

Conference Registration Description

Other

Other Description

Itemized Subtotal

Total

Any expenses that exceed the total approved in your application will not be covered by the Foundation. You are required to return funds that were not spent or are not accounted for on this expense form if that amount is greater than $20. Please contact scholars@jkcf.org with any questions.

Please upload one document with all itemized receipts in the following order:

Transportation (airfare, baggage fee, airport transfer, train, parking, tolls, route map for mileage)
Lodging (must be under Scholar's name)
Conference Registration Fees (must be under Scholar's name)
Other (fees for poster printing or other prepared materials for presentations)
Please include your conference registration confirmation email along with your receipts even if you are not requesting reimbursement for these fees. We need documentation that you registered for the conference.
Please note that the Foundation does not accept receipts for clothing, personal items, souvenirs, dry cleaning, or membership dues.
The Foundation does not require itemized receipts for per diem items (local transportation and meals).

If you are having trouble uploading your paperwork, you can email it to scholars@jkcf.org or mail it to:
Jack Kent Cooke Foundation
Attn: Anna Dolga
44325 Woodridge Pkwy
Lansdowne, VA 20176

Scholar Signature

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Date