02/2019'
Winthrop)University)College)of)Visual)and)Performing)Arts)
'
REQUEST)FOR)TRAVEL)FUNDS)
Name)______________________________________) Department)________________________________________)
Destination)_________________________________' Dates)of)Travel)______________________________________'
Select'the'appropriate'reason'for'your'travel:'
Visiting'Artist'
Professional'Meeting'
Research'
Recruiting'
Conference'
Other: Describe
Will'you'be'presenting'or'submitting'a'proposal'to'present'at'a'conference?'''___ 'Yes 'No'
If'so,'has'your'proposal'been'accepted?''' 'Yes' 'No'
Will'you'be'conducting'recruitment'activities' on'this'trip? 'Yes' 'No'
Will'you'be'escorting'students'on'this'trip?' 'Yes No'
If't
his'is'trip'for'a'professional'meeting,'are'you' on'the'planning'body'and/or'serve'as'an'officer?' 'Yes No'
Will'you'miss'classes'and/or'private'lessons 'Yes No'
'Yes' No'
No' Yes'
If'so,'how'will'they'be'covered?'
Are' you' receiving'an'honorarium'and/or'fee'waiver'in' connection'with'this' travel?'
If'so,'how' much?''
Have' other'university' funds'(including' department'funds)'already' been'awarded?'
If'so,'how' much?''
Provide)a)statement)of)justification)supporting)your)request)for)CVPA)travel)funds:)
Faculty:)submit)this)form)with)a) completed)Travel)Authorization)Form)to)your)chair)by)April 5)for)travel)
between)July)and)August)2019,)and)by)April)26)for)travel)between)August)2019)and)May)2020.))
Department)chair) supporting)statement:)
'1' '2'Total'amount'requested:' _____________'''Department' contribution:''_____________'''Priority'Rating:'
Chair:)submit)this)form)and))Travel)Authorization)Form) to)Michelle Mitcham)by)April)12)for)travel)
between)July)and)August)2019,)and)by)May)10)for)travel)between)August)2019)and)May)2020.)
Dean'approval'amount:'___________' ''''''''''___________________________________________________________'
'Dean'signature' ' ' ' Date'
