B
ISHOP
S
TATE
C
OMMUNITY
C
OLLEGE
"Commitment to a Program of Excellence"
REQUEST FOR TRAVEL
Date
Mode of Transportation
Date/Time of Depart ure:
Date/Time of Return:
Per Diem
(# of Days):
Hotel Telephone Number:
Type or Print Name:
Signature:
Social Security Number:
$ $
Approved:
Conference/Registration Fee
$
$
$
$
Approved:
Approved:
$
Approved:
Approved:
Charge to:
Permission is respectfully requested for authorization to travel for the purpose of attending
Main Campus ( )
Carver Campus ( )
Southwest Campus ( )
Central Campus ( )
President
Business Manager/Treasurer
Expenses will be paid from:
Federal Funds ( )
State
Funds
( )
Title III Coordinator
Academic/Technical Dean
Divisional Chair/Supervisor
Transportation
Amount of Per Diem
Lodging
Meals
Taxi ( ) - Car Rental
( )
TOTAL EXPENSES
$
DEPARTMENTAL APPROVALS:
ESTIMATED COST OF TRAVEL-
Lodging
(specify Hotel)
TRAVEL INFORMATION:
__________________________________________________________________ in the City
of
State of
Dear Dr. Sykes:
Dr. Reginald Sykes, President
Bishop State Community College
351 North Broad Street
Mobile, Alabama 36603-5898
(Please specify program or fund to be charged)
NOTE: ALL REQUESTS MUST BE TYPED AND ACCOMPANIED BY A LETTER TO THE PRESIDENT,
EXPLAINING THE BENEFIT OF THE TRAVEL. ATTACH ANY SUPPORTING DOCUMENTS
(BROCHURES,
LETTERS, PAMPHLETS)
RELATED TO TRAVEL, PLEASE SUBMIT TRAVEL REQUEST AT LEAST TWO WEEKS PRIOR
(8/2000)
TO TRAVEL.
