Fillable Arkansas tech Academic Affairs Travel Request

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Arkansas tech Academic Affairs Travel Request

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File type: PDF

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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
jfleming@atu.edu
Phone:
Undergraduate Research Grant
Purpose for Travel:
Conference/Seminar Research Other
Explain role
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
Taxi/Shuttle
Conference/Seminar fees:
Type of Travel Reimbursement Requested:
Airfare
Department Head:
Mileage
Subtotal
Dean: VPAA:
Budget to be used:Total Amount Requested:
09/09/2009
Leanne McConnell
Upward Bound
Little Rock, Arkansas
Oct 11, 2009
Oct 13, 2009
479-964-0888
2
$110.00
$220.00
3
$026.45
$079.35
Print Form
$529.35
219000
$529.35
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Arkansas tech Academic Affairs Travel Request

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Completed 25 May 2020

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