ELLevate! Office
College of Professional Education • PO Box 425769 • Denton, TX 76204
Tel. (940) 898-2214 or 2217 • Fax (940) 898-2962
www.twu.edu/ellevate • ellevate@twu.edu
ELLevate! Travel Reimbursement Request Form
Please email this form to ellevate@twu.edu or fax it to (940) 898-2962.
After travel has occurred, please email this request, along with scanned copies of receipts, as
a .pdf file to ellevate@twu.edu or fax it to (940) 898-2962. Reimbursement will be made
through TWU Financial Aid, and the method will be either TWU Bank Mobile Card or Direct
Deposit, depending on the awardee’s preference.
Travel Start Date: Travel End Date:
Name of Event (No abbreviations):
Location of Event: (Include City, State, Zip):
Provide actual expense amounts
Airfare or mileage if driving:
By signing this document, you confirm that all information provided is truthful and accurate to the best of your
knowledge, and you understand that all information listed in this request is subject to internal audit. Please note:
the ELLevate! Travel Fund is designed to assist individual teachers and not to reimburse schools or Denton ISD.
Applicant Signature: ______________________________
Applicant Printed Name:
*Meal per diem Guidelines
The meal per diem follows federal guidelines. Go to https://www.gsa.gov/travel/plan-book/per-diem-rates to look up
current per diem rates. Use the Standard Rate if your destination city or county is not listed. The first and last calendar day
of travel should be calculated at 75 percent of the daily per diem. (First & Last Day of Travel rates can be found at
https://www.gsa.gov/travel/plan-book/per-diem-rates/meals-and-incidental-expenses-mie-breakdown.)
