International Travel
Faculty Conference/Travel Supplemental Form*
Funding is competitive and the amount available to be awarded varies from year to year. Maximum funding per
faculty member is $1,000 per year.
Name: ___________________________________ Date: _____________________
Department: ____________________ Ext. _______ __ fulltime __ part/time
Name of conference/professional activity (include the name of the sponsoring organization:
Date(s) of attendance and location: _________________________________________________
Please attach a copy of brochure or meeting announcement.
Briefly describe the significance of your professional development activity and how it will engage your faculty
work:
Amount of funding for this trip approved by FDC: _________________
Estimated cost of this trip: _____________
Amount requested from the international travel fund: _______________
Chairperson’s recommendation: I approve this request and have discussed the coverage of classes and other
faculty responsibilities with this faculty member.
Date: __________ Chairperson’s signature: ___________________________ Department ______________
*This form is a supplement to normal requests through FDC and addresses the higher costs of international
travel.
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Status of pending request
Date received: __________________ Date of trip: ____________________
Not approved ______ Approved _____
Level of funding _____________
Provost’s signature: ______________________________________
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