Name*
Today's Date*
Reason for Absence*
Are you applying for Faculty Development Funds from the SON&HS?*

Conference/Event Information

Conference/Event Type*
City, State, Country
If not presenting enter: Attendance Only
Please describe how your involvement with this conference relates to your annual and long-term goals

Projected Travel Expenses

First Payment Due Date*
$
$
$
$
$
$
$

If you will be absent from any classes, please inform your dean what the arrangements are for covering or making up class time.

Explanation/Conditions

If approved, please submit a separate Travel Expense Report and all receipts and other documentation to your dean’s office after you have completed your travel. Reimbursement awards are limited to $1,000 (Travel Funds A) and $700 (Travel Funds B).