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PENN STATE BRANDYIWNE
Professional Travel Request

Name:
e-mail Address (required):
College:
Division/Department:
Travel To (city, state):
Intended Travel Dates:
Sponsoring Organization / Institution
Purpose of Trip: Presenter | Session Chair | Attendee | Departmental Travel | Other
Participation Invited | Paper Accepted | Paper Submitted
If 'other' selected above, please explain:
I am willing to meet with alumni as part of this trip: Yes | No

Budget
Travel
Estimated costs for round-trip air/train/bus fare or personal car (total miles x 55 cents/mi)
Taxis, Tolls, Parking Fees:
Lodging:
Meals (use University approved meal allowances):
Registration/Workshop Fees:
Total Amount Requested:

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: