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PENN STATE BRANDYIWNE
Departmental Travel Request

Name:
e-mail Address (required):
College:
Division/Department:
Travel To (city, state):
Sponsoring Department or Unit:
Date(s) of Trip:
Purpose (Indicate the purpose of your travel and your anticipated role or participation, e.g. department-wide meeting committee meeting*, etc.):

Budget
Travel
Estimated costs for round-trip air/train/bus fare or personal car (total miles x 50 cents/mi) **
Taxis, Tolls, Parking Fees:
Lodging:
Meals (use University approved meal allowances):
Total Amount Requested:
If you anticipate more than one trip for departmental or college-related business (other than Senate or P&T activities), please provide a justification.

Have you requested support or do you plan to request support from sources outside campus?
You must select Yes / No for the following external souces for this form to be processed.
   
Outside sources requested (required). Yes | No
   
University College (required) Yes | No
Amount Requested: Amount Approved:
 
College (required) Yes | No
Amount Requested: Amount Approved:
   
Department (required) Yes | No
Amount Requested: Amount Approved:
   
Outside Agency (required) Yes | No
Amount Requested: Amount Approved:
   
Other (required) Yes | No
If 'other' selected, please explain:
   
 
* Please inquire about committee participation via audio, video, or web-based conferencing.
** Please inquire about carpooling with colleagues traveling for similar purposes.