School of Education and Professional Studies
Travel Authorization Addendum
Please fill out all portions of this form and attach it to your travel authorization. Your
TA will be delayed if this form is not fully completed.
Name: ____________________________________________
Travel dates: From_______________ ____ To_____________________
Destination: _______________________________________
____I will be attending a conference and delivering a paper or presenting a poster.
____I will be attending a conference/workshop only.
Comments:
Please attach a verification of your role at the conference. If you are attending a conference, include a copy of
a printed announcement or a web page. If you are presenting a paper or a poster, or will serve as a discussant
or session chair, you should include a copy of the letter or email that verifies your role, or copy of a page from
the program (either printed or from the web) that lists your part in the session. If you are presenting a paper
and the written verification does not include the title of your paper, you should enter the title below.
If you will miss any classes, please indicate how the classes will be covered.
___I am requesting additional funds from the Dean’s office.
___I will receive additional support not shown on my travel authorization (including payments in kind such as
hotel accommodations, meals, etc.)
Additional comments:
Faculty Signature: ______________________________________________ Date: _________________
Department Chair Signature: _____________________________________ Date: __________________
10/2013
