Travel Form Travel Form Name* First Last Employee Number* Email* PurposeConference Name/Purpose of Trip* Were you invited to present, or selected to present?* Yes No If yes, your role:* Session Chair Presenter Travel InformationDeparting From* Destination* Departure Date* MM slash DD slash YYYY Departure Time* : Hours Minutes AM PM Return Date* MM slash DD slash YYYY Return Time* : Hours Minutes AM PM Personal Travel DaysPersonal Travel Days* Yes No If yes, indicate days of personal travel* Course CoverageAre you scheduled to teach class(es) on any days during your requested travel period?* Yes No If yes, how many courses?*OneTwoThreeFour or moreClass 1: Date* MM slash DD slash YYYY Class 1: Course and Section Number* Class 1: Arrangements for Course Coverage*Class 2: Date* MM slash DD slash YYYY Class 2: Course and Section Number* Class 2: Arrangements for Course Coverage*Class 3: Date* MM slash DD slash YYYY Class 3: Course and Section Number* Class 3: Arrangements for Course Coverage*For any additional courses, please note the date, course number, and arrangements for course coverage.*Travel FundingIndicate Funding Sources* STAR OVPR AAUP Foundation Account Host Institution Self-Funded Other Indicate Other Funding Sources*Estimated ExpensesConference Registration Fee*Airfare*Baggage*Lodging*Meals*Mileage*# of miles x .58. Check here to confirm the latest mileage reimbursement rate.Ground Transportation*Parking/Tolls*Miscellaneous/OtherPlease Explain Miscellaneous/Other*Traveler's TitlePlease select your role from the drop down list:*Department HeadFaculty traveling in a faculty capacity (i.e. traveling to academic conference)Department Head or Faculty traveling in an administrative capacity (i.e. traveling on behalf of a center or program)StaffSubmit Pre-trip Approval FormInsert email address of your supervisor. If your supervisor is traveling to the same place, please insert the email address of the next level supervisor.* PhoneThis field is for validation purposes and should be left unchanged.