GENERAL INFO Term in which travel will occur * - Select -Fall 2021IAP 2022Spring 2022 I am * An instructor of the class that will travel An admin submitting form on behalf of instructor(s) Your name * Email address: * Your name * Email address * SUBJECT INFORMATION Subject # * Subject title * Explanation of whether or not the trip is a requirement for all enrolled in the subject * Please explain the value of the proposed travel to the subject matter. * Note: the travel *must* be an integral part of the course, not just an enrichment opportunity). ADDITIONAL INSTRUCTORSPlease enter names of any additional instructors of class in the boxes below. Add'l instructor 2 Add'l instructor 3 Add'l instructor 4 INSTRUCTORSPlease enter instructor name(s) in the boxes below. Instructor 1 Instructor 2 Instructor 3 Instructor 4 TRAVEL INFORMATION # of travelers * Travel destination * travel start date * Year Year20212022202320242025 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 travel end date * Year Year20212022202320242025 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Add additional travel dates? * yes no 2nd travel start date Year Year2019202020212022202320242025 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 2nd travel end date Year Year2019202020212022202320242025 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Add more travel dates? yes no 3rd travel start date Year Year2019202020212022202320242025 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 3rd travel end date Year Year2019202020212022202320242025 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Give a brief itinerary and explanation of activities, with justification for travel outside acceptable periods * FINANCIAL INFORMATION Cost of transportation and accommodations (can include one group meal) * Explanation of matching support, if any COMMENTS Other information you feel is pertinent to the proposal
