Art Education: Travel Request Form

Name

Are you requesting/receiving Funding from the Department of Art Education?

Yes
No
Yes, if I don’t get funding from another agency.

Email

Destination (City, State / Country)

Dates (Month/Day/Year)

Estimated Travel Times (Remember to add AM/PM)

Purpose of Travel

Describe all levels of participation; Include benefits to you, students, and the University

Budget

Estimated Income: List all external funds (stipends, honorariums, travel reimbursements, etc.) that you anticipate receiving for this event. Please be specific:

Total Estimated Income

Presentation Type

Keynote, Solo, or Co-Presentation/Paper
Panel Presentation
Unspecified

Conference Scope

International Conference
National Conference
Regional Conference
Not a Conference
Unspecified

Acceptance Letter

Please upload your acceptance letter for your travel here

File

Description

File

Description

File

Description

*If you have any additional budget information such as project numbers, reimbursement caps, etc. please forward the original email to Tori Cole at vcole@fsu.edu.*

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