Travel Request Form
Name of Event
Date of Event
Travel Purpose (Answer either of the below two questions)
1. If you are presenting, please attach a link to conference program/details or copy your acceptance email into the form.
2. If travel is for personal development purposes, please explain how this travel will improve your teaching or course development, and/or how it will raise the Journalism School’s public profile.
2a. For travel requests for personal development, please rate how essential this trip will be for your job (select one).
Personally beneficial learning, but not directly related to my job
Useful learning for my job, but not essential
Essential learning for my job
Will you miss any classes?
If so, what accommodations are you making for the students?
If you are staying at a conference hotel that is above the GSA per diem hotel rate, you must also complete the
Per Diem Overage Justification Form
Airfare or train ticket ($)
Other transportation (e.g. rental car, taxis, public transit ($)
Mileage @.575 per mile - please do the math ($)
Conference registration ($)
Lodging ($) - Please refer to the
the GSA for per diem rates
to locate rooms as a state employee.
Meals/Per Diem ($) - Please refer to
the GSA for per diem rates.
Other Expenses (e.g. baggage fees, internet access, etc.) ($)
Total Expenses - please do the math ($)
"Other" expenses details (please specify below):
Funding from Other Sources
Any travel funding from other sources, such as conference organizers? Please specify below.
Other Funding Sources ($)
Other Funding Sources Details:
Do Not Fill This Out