Travel and Professional Development Request Form
Request for Funds
• For travel funds ATTACH ALL TRAVEL DOCUMENTS (hotel, registration fee, airfare, mileage map, conference agenda, etc.)
• Submit your request a week or more prior to the next PDC Meeting for their consideration. (See published meeting schedule.)
Your request will be reviewe
d at the PDC meeting. You will be notified by the PDC Co-Chairs of the committee’s decision. NOTE:
There is a $1000 maximum per applicant/year.
• Once approved, create a TA in PeopleSoft. Scan and attach this approved form and the supporting documents with your entry.
If you need assistance, please contact the Business Office Travel Liaison at X 7401.
SECTION 1: Is Funding Source from outside the PD Committee? Yes No Source:
First Name: Last Name:
Empl. ID #:
Job Title: Email: Mgr:
Phone:
Is a Sub Needed?
Yes No
Organizational Sponsor: Member of Organization Yes No
SECTION 2: Select Appropriate Request Avenue
Title of Activity
Travel/Conference
Event Project Presentation Other
SECTION 3: to be completed for Travel/Conference expenses only
Travel Inclusive dates:
From: To:
Conference
Location
Detailed Expense Items
$ Amount
from Miramar College
Current reimbursement rate 0.58 X RT Miles
Enter Total Round Trip Miles
(rounded to nearest whole number)
Pre-Pay (District) Employee Paid
Pre-Pay (District) Employee Paid
Pre-Pay (District) Employee Paid
Estimated costs (taxi, shuttle, parking, luggage, etc.)
For college business only
For Meals NOT included
at the Conference*
* Meal reimbursement for travel within San Diego County is NOT permitted per District Policy
Amount Requested
from PDC (max 1000):
$
Amount Requested
from Other Source:
Budgets Numbers: PD: Other
APPROVAL SIGNATURES
Dept. Chair/Supervisor Signature(below)
Date
Dean/Manager Signature (below)
Date
PD Committee Signature (below)
Vice President’s Signature (below)
APPROVED PROPOSAL FORM MUST BE ENTERED IN PEOPLESOFT AND APPROVED PRIOR TO TRAVEL
You will receive a system-generated email notifying you once your travel has been OFFICIALLY approved.
Cell:
AMOUNT APPROVED $
Date
$
Revised 9/18/19 - Business Office - CD
Stat
e
City
Reimbursement for
mileage may not
exceed the total cost of
coach airfare.
Complete the Meal Reimbursement Breakdown chart on
the top of page 2 and then enter the Grand Total here.
Attach all Supporting
Documents to this
request before
turning it in for
approval.
