Travel Proposal Form

Term in which travel will occur

I am

An instructor of the class that will travel

An admin submitting form on behalf of instructor(s)

Your name

Email address

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).

Please enter instructor name(s) in the boxes below.

Instructor 1

Instructor 2

Instructor 3

Instructor 4

Please enter names of any additional instructors of class in the boxes below.

Add’l instructor 2

Add’l instructor 3

Add’l instructor 4

# of travelers

Travel destination

travel start date

Add additional travel dates?

yes

2nd travel start date

Add more travel dates?

yes

3rd travel start date

3rd travel end date

Give a brief itinerary and explanation of activities, with justification for travel outside acceptable periods

Cost of transportation and accommodations (can include one group meal)

Explanation of matching support, if any

Other information you feel is pertinent to the proposal

If you are human, leave this field blank.

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