Department Date
Description of Conference/Seminar
(attach conference information/agenda payment will not be made without attachment)
Location: __________________________Date(s) of Attendance:___________________________________
How will your attendance benefit the college and you professionally? ______________________________
_________________________________________________________________________________________
Amount Allocated Account No. ____________________ (Source of Funding)
Dept. Head Dept. Head Approval
(print) (signature)
A Travel Authorization for all employees must be submitted to your area Vice President for approval
Registration $ Travel $
Registration fee for
Certifications, Seminars,
Conferences, Etc. ____________________
Training Materials ____________________
Mileage Costs _______________
Car Rental Costs _______________
Tolls/Parking _______________
Lodging _______________
Meals _______________
TOTAL: __________________ + _______________ = __________________
*
Total Reg. & Travel Costs
*
Receipts are required for reimbursement of expenses
Attendee(s)
Name______________________________________ Title_______________________________
Name______________________________________ Title_______________________________
Name______________________________________ Title_______________________________
Name______________________________________ Title_______________________________
The above named officer(s)/employee(s)of Orange County Community College are hereby authorized to attend the
conference/seminar/workshop or travel as indicated, on or between dates set forth. The expenses therefore, subject to all
applicable provisions of Orange County Community College travel guidelines promulgated by the Vice President for
Administration & Finance through the submission of a properly documented voucher claim.
Vice President Approval Date Approved
Conf Form Jan. 2016
Seminar/Conference/Workshop Authorization Form
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