Travel Request |
*First Name |
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*Last Name |
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*Email |
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*Classification |
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Cell Phone (required by travel agency, if traveling by plane) |
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*What Conference/Meeting are you going to? |
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*Will you give a talk? |
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*Is the talk an invited talk? |
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How long will the talk be? |
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Additional purpose? |
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*Departing from? |
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*Departing when? |
-- |
*Destination City? |
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*State? |
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Country? |
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*Returning when? |
-- |
Any time constraints for departing/returning? |
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*Travel Arrangements |
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Estimated Expenses |
Airfare |
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Auto |
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Personal or State vehicle |
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Lodging |
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Meals |
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Registration |
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Other Expense 1 |
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Other Expense 1 Cost |
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Other Expense 2 |
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Other Expense 2 Cost |
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Other Expense 3 |
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Other Expense 3 Cost |
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Total Expenses |
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Funding Sources |
Use Grant |
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Amount from Grant |
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Requested from Non-UNL |
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Requested from College (additional form required) |
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*Requested from Dept. (required, even if it's $0) |
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Personal funds |
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Total Funding |
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* denotes required field |