Southwestern | Office of the Provost

2008-09 ABERCROMBIE FACULTY TRAVEL FUND APPLICATION FORM

TRIP REQUEST

NUMBER OF TRAVEL REQUESTS YOU ARE SUBMITTING (YOU MAY USE THIS FORM MULTIPLE TIMES)
NAME OF APPLICANT
EMAIL
NAME OF ASSOCIATION/MEETING
PLACES OF MEETING
DATES OF ATTENDANCE AT MEETING

PLEASE INDICATE BELOW WHETHER YOU WILL BE A SPECIAL PARTICIPANT. IF SO, INDICATE THE APPROXIMATE DATE OF NOTIFICATION.

AIRFARE	$ (airfare total)
AUTOMOBILE MILES @ .505 CENTS PER MILE	(miles total)
TAXI, LIMOUSINE, BUS	$ (taxi/limo/bus total)
OTHER (DESCRIBE BELOW)
	$ (other total)

LODGING
1 2 3 4 5 6 7 nights at $ per night	$ (lodging total)

FOOD
1 2 3 4 5 6 7 reimbursable at actual cost up to $25 per day	$ (food total)

MEETING FEES
registration, banquets, etc. (specify below)
	$ (meeting fees total)

TOTAL
Total amount of request	$

Signature: Date:

Southwestern University

1001 E University

Georgetown, TX 78626

512-863-6511

Fax 512-863-5788