Fillable PITZER COLLEGE Student Application for Travel Funds (Pitzer College)

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PITZER COLLEGE Student Application for Travel Funds (Pitzer College)

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PITZER COLLEGE
Student Application for Travel Funds
Name ________________________________ Date of Application _____________________
Destination (city) _______________________ Dates of Proposed Travel ________________
Reason for travel (please attach copy of invitation to present paper)
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Have you received money this academic year from the Research and Awards Committee for
travel? ____ Yes ____ No
Funds Requested*
a) Travel or mileage $____________
for personal car travel**
b) Accommodation expenses $____________
c) Per Diem expense $____________
d) Registration Fee $____________
Total $____________
*Please include original receipts for reimbursement
**Please attach the Mileage Reimbursement form along with a Mapquest map as
documentation
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PITZER COLLEGE Student Application for Travel Funds (Pitzer College)

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Completed 23 July 2020

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