DEPARTMENT OF AFRICAN AMERICAN AND AFRICAN STUDIES
TRAVEL REQUEST FORM
Travelers Name:____________________________
Email:______________________________________ Phone:
_________________________________
Rank (Select One): Full ProfessorAssociate ProfessorAssistant
ProfessorVisiting Assistant Professor
LecturerStaffGuest
Purpose of Travel:
Research Conference OtherIf Other: (Specify)
____________________________________________________________
____________________________________________________________________________
Time and Location Information Departure From:
_____________________________
Destination: _____________________________
Date/Time of Departure _____________________________
Date/Time of Return _____________________________
Brief Explanation (150 words or less)
Are you requesting a cash advance? YesNo
Are you requesting pre-payment? YesNo
If yes, check the appropriate box(es) below: Airfare
Registration Fees Car Rental (University Motor Pool orUniversity
Approved Rental Agent)
1
Cheikh [email protected]
6072379308
ColumbusNuremberg6-2-20158-5-2015
I am presenting a paper at the annual conference of the African
Literature Association.
Please note that although the conference is from 6-2-2015 to
6-6-2015, I am requesting a return date for 8-5-2015 because I plan
to do research at the colonial archives in Aix-en Provence in June
and July. Please note that this will have no negative effects for
the university because the return ticket of 8-5 is $1000 cheaper
than what the university would have paid if I was to come back
right after the conference on 6-2-2015. Note also that I plan to my
research time in Aix-En-Provence after the conference with my own
personal funds.
Do you have a research account? YesNoSource of Funding
AAAS College Research OtherIf Other:
____________________________________
Estimated Travel Expenses
Airfare $ Lodging $ Registration $ Per Diem ($25 flat rate w/o
receipts) $ Transportation (shuttle, taxi, train, etc.) $ Personal
Vehicle (Federal mileage rate is 56.5 cents/mile) $ Parking $ Car
Rental $ Amount Pre-Paid by Department [Department Only] $
Travelers Total Expenses $
TRAVELERS SIGNATURE _____________________________________ DATE
__________________
Instructions: Travel requests must be approved by the Chair
prior to any arrangements being made. Please complete this form in
its entirety and submit it with supporting documentation (i.e.
letter of
invitation or email invitation) or a schedule showing your
participation in the conference to the Program Assistant.
Travel request must be submitted to the Program Assistant at
least three (3) weeks prior to the date oftravel for processing.
Travelers have up to forty-five (45) days after the return to
submit receipts for reimbursement to the Academic Program
Coordinator.
If you are requesting prepaid registration, a complete
registration form must accompany this travelrequest.
The Department will reimburse for meals if the traveler provides
receipts for all meals. Otherwise, thedepartment will pay a flat
rate of $25 per day. [PLEASE NOTE THAT ALL REIMBURSEMENTS WILL BE
DEDUCTED FROM YOUR TRAVEL BUDGET.]
The University requires the use of its pre-approval travel
agencies if the Department prepays the airfare.
For Office Use Only
Authorizing Signature ___________________________________ Date
____________________________
Special Comments:
________________________________________________________________________________
Chartfield Info: Org______________ Fund_______________
Acct_____________
Project_________________________________
Program________________________
2
French and Italian
1736450200200 meals$100
2686
