Fillable Valencia college POINCIANA CAMPUS TRAVEL FUND REQUEST form

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Valencia college POINCIANA CAMPUS TRAVEL FUND REQUEST form

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File type: PDF

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POINCIANA CAMPUS
TRAVEL FUND REQUEST
For official use only, the proponent agency is Valencia College.
INSTRUCTIONS:
This application must be submitted to the Employee Development Coordinator or Administration Department prior to travel. Persons submitting applications after the
travel date will not be reimbursed. For reimbursement, a receipt of payment must be submitted. Email this form to pncadmin@valenciacollege.edu
APPLICANT INFORMATION
PRINT FULL NAME: (First Name, Last Name)
EMPLOYEE VID:
EXT:
DATE: (MM/DD/YY)
EMAIL:
@valenciacollege.edu
POSITION TITLE:
DEPARTMENT:
CONFERENCE INFORMATION
CONFERENCE TITLE:
ASSOCIATION NAME:
END DATE: (MM/DD/YY)
LOCATION: (CITY/STATE)
PURPOSE: How will this conference benefit you from a professional development perspective?
BENEFIT TO COLLEGE: How will this conference benefit Valencia College?
HAVE YOU RECEIVED CAMPUS EDF THIS YEAR FOR A TRIP?
YES NO
HAVE YOU ATTENDED THIS CONFERENCE PREVIOUSLY?
YES NO
ESTIMATED TRAVEL COST
LODGING
# NIGHTS:
DAILY RATE:
$
SINGLE DOUBLE
$
MEALS
BREAKFAST ($6 each):
#
LUNCH ($11 each):
#
DINNER ($19 each):
#
$
TRANSPORTATION
AIRFARE:
$
TAXI / UBER:
$
GAS / TOLLS:
$
SHUTTLES:
$
$
REGISTRATION:
$
MISC: (List here)
$
GRAND TOTAL
$
FUNDING SOURCE
CAMPUS FUNDS - (EDF) AMOUNT REQUESTED
$
HUMAN RESOURCES FUNDS - (PERSONAL EDF) AMOUNT BEING USED
$
APPLICANT SIGNATURE:
DATE:
SUPERVISOR’S APPROVAL: How will this conference benefit the applicant?
SUPERVISOR’S FULL NAME:
(First Name, Last Name)
SUPERVISOR’S SIGNATURE:
DATE:
AUTHORIZATION
AUTHORIZING OFFICIAL FULL NAME:
(First Name, Last Name)
AUTHORIZING SIGNATURE:
DATE:
APPROVED
NOT APPROVED
JUSTIFICATION:
PC Travel Fund Request Form, OCT 2017
TOTAL FUNDING:
0.00
0.00
11,000.00
11,000.00
11,000.00
10,000.00
1,000.00
10/12/17
$ 11,000.00
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Valencia college POINCIANA CAMPUS TRAVEL FUND REQUEST form

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Completed 16 May 2020

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