Arts and Sciences 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
Sep 1	Sep 30	Oct 1 - Feb 16
Jan 15	Feb 15	Feb 17 - June 30
May 1	May 31	July 1 - Sep 30

First Name (required)

Last Name (required)

Program (required)

This is my first travel request of the academic year (required)

Yes

Amount of money requested or spent this academic year

If applying for multiple trips under a single application deadline, identify the priority of this trip:

1st

2nd

3rd

Name of Conference/Event (required)

Type of Conference (required)

Regional

National

International

Conference Dates (required)

Conference Location (required)

City, state, country

Presentation/Panel Title (required)

If not presenting enter: Attendance Only

Presentation/Attendance Description (required)

Paste your presentation abstract above 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.

Projected Travel Expenses

First Payment Due Date (required)

Conference Registration Fee (required)

Airfare or Mileage (required)

Lodging (required)

___nights @ $____

Ground Transportation (required)

Meals (required)

Other

Estimated Total (required)

Arts and Sciences Travel Request Form

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