Fillable Academicaffairstravelrequest2018 Office Supplies Request

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Academicaffairstravelrequest2018 Office Supplies Request

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Academic Affairs Travel Request
Date:
Traveler Information:
Name:
Department:
Destination:
Leave Date:
Travel Information:
Return Date:
Arkansas Tech University
Administration 200
Phone: 479-968-0319
Fax: 479-968-0644
academicaffairs@atu.edu
Phone:
Undergraduate Research Grant
Purpose for Travel:
Conference/Seminar Research Other
Reason for
Travel:
Will you have an active role?
Yes No
External Grant
This form is to be completed for all
IN-STATE TRAVEL over $500 or for all
OUT-OF-STATE/OUT-OF-COUNTRY TRAVEL.
Other
Faculty Research Grant
Professional Development Grant
# Nights
X
Rate Total:Lodging
# Days
X
Rate Total:
# Days
X
Rate Total:
# Days
X
Rate Total:
Meals in state
Meals Out of State
Parking
FROM TO MILEAGE DRIVEN RATE PER MILE AMOUNT CLAIMED
0.42
0.42
0.42
0.42
Taxi/Shuttle
Conference/Seminar fees:
Type of Travel Reimbursement Requested:
Airfare
Department Head:
Mileage
Subtotal
Dean: VPAA:
Budget to be used:Total Amount Requested:
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Academicaffairstravelrequest2018 Office Supplies Request

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Completed 2 March 2020

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