KINGSBOROUGH COMMUNITY COLLEGE
APPLICATION TO ATTEND MEETING OR CONFERENCE
CUNYfirst EMPLID# _____________________
NAME: ___________________________DEPT: ______________TEL: _________________SSN:______
NAME OF MEETING OR CONFERENCE: ___________________________________________________
LOCATION OF MEETING OR CONFERENCE: ________________________________________________
DEPARTURE: ___________________________________ RETURN: _____________________________
Are you a member of the sponsoring organization? _________________________________________
During this period, your KCC assignment will be covered by: __________________________________
Indicate the purpose and the specific capacity in which you will participate, e.g., present a paper,
observer, etc.
Estimated Costs of Attendance
Travel Expenses (Air/Train
Fare/Estimated Mileage & Tolls)
Other Funding Sources: _________________________________________________________________
OVERNIGHT/OUT-OF-TOWN TRAVEL REPORT MUST BE PRESENTED WITHIN 30 DAYS OF CONFERENCE,
WITH ORIGINAL RECEIPT AND/OR CANCELED CHECKS FOR ALL EXPENDITURES, CONFERENCE AGENDA
AND EMPLOYEE POST ATTENDANCE REPORT.
SIGNATURE: _________________
EMPLOYEE: __________________ TITLE: _____________ DATE: _______________
CHAIRPERSON/SUPERVISOR: ______________ FOR: $_____________ DATE: _______________
SUPERVISING DEAN: _____________________ FOR: $_____________ DATE: _______________
In order to be reimbursed, please obtain the chart field string from your department approver
