Please fill in all blanks:
I, Campus ID ,desire to travel to
beginning on April January February March April May June July August September October November December 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2023 2024 2025 1 2 3 4 5 6 7 8 9 10 11 12 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 00 AM PM
, and returning on April January February March April May June July August September October November December 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2023 2024 2025 1 2 3 4 5 6 7 8 9 10 11 12 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 00 AM PM
The purpose of this travel is
I will be accompanied by
ESTIMATED COST OF TRIP TO BE PAID FROM UNIVERSITY FUNDS:
SOURCE OF FUNDING: Account No.(s) Amount $
I suggest the following arrangements to take care of my classes during my absence, and if the travel is approved,
I will assume responsibility for making these arrangements and seeing that they are executed:
Class Time of meeting Arrangement suggested in my absence I request advance travel funds in the amount of $ Team or group travel Title of person traveling: Department: Contact Person: Phone: Conference, workshop, or meeting agendas must be attached to this Travel Request.
Conference, workshop, or meeting agendas must be attached to this Travel Request.