Willamette University
College of Liberal Arts
Faculty Travel Expense Application

Your Name
Your email
Today's Date
Your Department
Conference Name
Conference Location
Conference Date(s)

Your Role in the Organization and at the Conference (check all that apply)

Presenter

Title of Paper

Session Chair/Discussant Subject
Other Responsibilities Describe
Office-Holder Title
Member/Attendee  

What are the purposes for attending the meeting?

Addtional comments:

Estimated Itemized Expenses
(Conferences in Portland are limited to registration fee plus $250)
Transportation: Air, Bus, Train, Taxi, or Auto (mileage for auto is @ 50 ¢/mile)
NOTE: You are required to use Willamette Travel
$
Food/Lodging: $250 per day, 3 days maximum. A fourth day may be requested for intercontinental travel.
Original receipts must be provided to receive reimbursement. 		$
Other (e.g. Parking) $
Registration fees $
Minus amounts from other sources $
Total: (Maximum: continental $1,400, intercontinental $1,800) $

Please answer the following questions regarding your conference travel funding for the previous fiscal year. Note: The fiscal year is June 1- May 31.


Did you receive funds last year?



If yes, approximate amount funded:
$
 
If yes, check all that apply: 1x with paper 1x without paper
  2x with paper 2x without paper
  3x with paper 3x without paper

Please complete the following sentence regarding conference travel requests for this fiscal year. Note: The fiscal year is June 1- May 31. This means travel to a conference during the summer of 2008 counts as your first request for funding in the June 1, 2008 - May 31, 2009 fiscal year.

This is my first request for travel funds this fiscal year
  second request for travel funds this fiscal year  
  third request for travel funds this fiscal year  

By submitting this application, I understand that if this request is funded, I am obliged to carry out the duties (e.g. present the paper, chair the session, attend the board meeting, etc.) described in this proposal. If for any reason I am unable to perform these tasks, I will inform the FRC and realize that I may be required to return part or all of the initially approved funds.