Faculty Preliminary Travel Application

Department of History Preliminary Travel Application

Your Name *

Today's Date *

Travel to (destination) *

Travel Dates *

Name of Conference *

Sponsoring Organization *

Are you presenting a paper:

Yes

If yes, what is your paper's title?

If not presenting a scholarly paper, your purpose for attending:

If destination is international, please provide an explanation as to the reasons for this particular trip/conference, safety of the area, and any other information you deem important to justify the trip and expenditure:

In the section below, please list your anticipated expenses.

Air Fare

Car rental/Motor pool

Parking, travel to and from airports

Meals (use University Per Diem Table)

Hotel/Accomodations

Other (registration, conference fees, etc.)

Total Expenses *

Identify funding from other sources (Kennedy Center, GE, research, etc.):

Less Other Funds

Total Request from Department *