Fillable Travel Grants Rev4 10 3 2018RE Request Form for Funds to Visit Extramural Sponsor

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Travel Grants Rev4 10 3 2018RE Request Form for Funds to Visit Extramural Sponsor

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TENNESSEE TECH UNIVERSITY
Request Form for Funds to Visit Extramural Sponsor
Submit completed form to the Office of Research and Economic Development (ORED), Box 5036.
Please note, the use of these funds is limited by the following restrictions:
• Approval must be obtained prior to travel.
• Funds can only be used for travel when the primary purpose of the trip is to visit with one or more
sponsors/agencies, including visits to negotiate an award if negotiations are required by the
sponsor/agency, and when the purpose of the trip cannot be accomplished with phone calls or written
communication.
• Travel funds are limited to $1,000 and will be reimbursed only upon receipt of travel cost
documentations.
• Evidence must be provided with this form that formal one-on-one meetings with the sponsor/agency have
been arranged in advance of the travel.
• A follow-through proposal submission to the sponsor/agency is required within three months unless the
visit is for award negotiation. Future requests will not be considered if this condition is not met.
• This program does not support travel to scholarly or scientific meetings.
Please complete all sections and check appropriate boxes. Incomplete forms will be returned. Note that you, your
department chair and college dean must sign the form, acknowledging that all information is complete and accurate
to the best of your knowledge.
II.
Travel Information
Destination: (city) (state)
Dates of Travel: - Estimated Total Travel Cost:
Purpose of Trip: Negotiation of Award Exploratory Visit Other (Explain Below)
Will you be attending a workshop or conference or conducting other business on this trip? Yes No
Details of Workshop Attendance or Other Business:
I. Requester Information
Name:
Last First
E
-Mail: Phone:
Faculty
Rank:
Department: College: Center:
Have you received travel support from ORED in the last 12 months?
Yes
No
Travel Cost Estimate
Breakdown
Economical Airfare
$
Other Incidentals (Please Describe)
Ground Transportation
$
Lodging
$
Meals
$
Miscellanies
$
TOTAL
(not to exceed $1,000)
$
III. Account Information (of account to be reimbursed)
Index:
Fund:
Organization:
Account Code:
Program:
Activity:
IV. Prospective Sponsor Information
Sponsor Name:
Sponsor Address:
Type and Name of Program:
Name of Contact: Phone Number:
Target Proposal Deadline:
V. Certification and Approval
I certify that I will not use the travel funds to engage in lobbying. Under federal lobbying legislation and regulations,
it is not lobbying to discuss your research ideas with a federal program official, nor is it lobbying to seek information
about how or when to submit a proposal or to seek the advice of a program official about how to submit the most
competitive proposal. Lobbying involves attempting to influence a federal official outside of the established rules
of program competition, such as interfering with the review process, asking for an exception that would circumvent
established procedures for determining merit or priority of funding, or providing any kind of inducement for the
federal official to fund your proposal.
Signature of Applicant Date
A
pproved:
Signature of Department Chair Date
Signature of College Dean
Date
Signature of Office of Research
Date
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Travel Grants Rev4 10 3 2018RE Request Form for Funds to Visit Extramural Sponsor

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Completed 15 March 2020

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