Request Form for Supplemental Funding for Presenting, Faculty Development and Research

* = required field

Use this form to request additional funding needed above the amount available in your individual faculty travel account. This form is not needed when travel expenses can be fully covered by your faculty travel account.
Name:*
Email address*
Nature of Faculty Development*
(1) CONFERENCE INFORMATION
Conference Attending
Conference Dates
Location
Title of Presentation
Has paper been accepted?
(2) RESEARCH PROJECT
Explanation of Research Project
Project Dates
Location
(3) OTHER FACULTY DEVELOPMENT
Explanation of Faculty Development
Dates
Location
(4) ESTIMATED COSTS
Airfare
Lodging
Registration Fees
Vehicle Costs (college vehicle or mileage reimbursement $.32 per mile)
Car Rental/Taxi
Parking
Research Supplies
Other
Meals
Note regarding Meals: Meal reimbursement is only available from annual faculty travel funds, supplemental funding can not be used for meals. Detailed receipts are required (no alcohol or snacks will be reimbursed).
(5) FUNDING AVAILABLE
Faculty Travel Funds
Other Funding
Stipend to be Received for Presentation
Tarbabypre
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Tarbaby
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Noturl
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Antlion
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