REQUEST FOR APPROVAL OF FOREIGN TRAVEL

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Name:                                                                                                                                                   Date:                                                           

 

Department:                                                                                                                   

 

Destination(s):                                                                                                              

 

                                                                                                                                               

 

Business Purpose of each Destination:                                                                                                                                                  

 

                                                                                                                                                                                                                                         

 

                                                                                                                                                                                                                                         

 

                                                                                                                                                                                                                                         

 

Departure Date:                                                                                         Return Date:                                                                              

 

Source of Funding:

 

Agency:                                                                                                                                      

 

Grant/Contract #:                                                                                                                

 

Fund:                                                                                                        Org:                                                                      

 

(Attach either a copy of grant budget delineating the above foreign travel or copy of approval from funding agency.)

 

Teaching Responsibilities  (If you have teaching responsibilities during the period of travel indicated above, indicate what arrangements you have made to have them covered during your absence.)

 

                                                                                                                                                                                                                                         

 

                                                                                                                                                                                                                                         

 

                                                                                                                                                                                                                                         

 

                                                                                                                                                                                                                                         

 

                                                                                                                                                                                                                                         

 

 

Chair's Approval:  

 

 

Yes:                                             No:                                              Signed:                                                                                          

 

 

(Approved original to traveler with a copy to the departmental files.)