A&S 2013-2014 Travel Request Form

Please refer to Travel Funds description and requirements in the Professional Development Booklet. Request for travel funds should be submitted by:

 Application Deadline  Approval Notification  Payment/Travel Dates
 Sept 1  Sept 30  Oct 1 - Feb 16
 Jan 15  Feb 15  Feb 17 - June 30
 May 1  May 31  July 1 - Sept 30

 

* indicates a required field.

       
* Name  
* Date  
* Program  
* Is this your first travel request of the academic year?  
  If no, specify the amount of money you have already spent or requested to date:  
  If applying for multiple trips under a single application deadline, identify the priority of this trip:  
* Name of Conference/Event  
* Type of Conference  
* Dates of Conference/Event  
* Location of Conference (city, state, country)  
* Presentation/Panel Title (if not presenting enter: Attendance Only)  
Please type or paste your presentation abstract below or provide an explanation of the nature of your participation in the conference/event. For Travel Funds B, describe how your attendance at this conference will result in learning a new teaching method, including the integration of information technology and the assessment of student learning.
* Presentation/Attendance Description:
 



Projected Travel Expenses
* Date When First Payment is Due  
* Conference Registration  
* Airfare or Mileage (0.555 per mile)  
* Lodging (___nights @ $____)  
* Ground Transportation  
* Meals  
* Other  
* Estimated Total