Today's date:
Name:
email:
UT EID:
Actual Depart Date
Actual Return Date
Reason for Request:
Conference Name:
Conference Location: City/State/Country
Actual Conference Dates:
Paper? Title:
How much will this trip cost? (approx)
How much are you requesting?
Are you requesting a Faculty Travel Grant?
(You must be FACULTY presenting a paper):
Yes No
Disposition of Duties:
List abbreviation and course #, day/time and who will cover each.
Account number(s): Please add if known -- VERY HELPFUL!
Additional Notes:
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