Name: Amount Requested:
| PRESENTATION AWARD: |
| Title, location, and
dates of conference: |
| Describe nature of
presentation or participation (attach documentation confirming
conference participation): |
| Registration Fee: |
| Transportation Fees: __________ airfare; __________ other fares; __________ parking; __________ mileage (__________ miles x $0._____ per mile). |
| Lodging: __________ nights x $_________ per night |
| Meals: Per diem x _________ days |
| PUBLICATION AWARD: |
| --Provide proof of publication. --These awards are for the faculty member's professional use. They are not in the form of personal pay. |
| School Dean approval
(required): |
| Academic Council approval: |
Updated Spring 2008