DIVISION OF ACADEMIC AFFAIRS - DOC by GoPkbJ

VIEWS: 2 PAGES: 1

									                                               DIVISION OF ACADEMIC AFFAIRS
                                           TRAVEL AUTHORIZATION
                                           and/or
                   REQUEST TO BE AWAY FROM ASSIGNED DUTIES
 ________DOMESTIC TRAVEL (within lower 48 states)    ________FOREIGN TRAVEL
 (Submit this form 10 days prior to trip.)                                                    (Submit this form 1 month prior to trip.)
 NAME:                                                                      DEPARTMENT:


 DATES OF TRAVEL:                                                           DESTINATION: (List Institution, City, and/or
              _____/_____/ 20__ through _____/_____/ 20__                   Country)

 DATE OF RETURN TO CAMPUS: _____/_____/ 20__
 Briefly describe the purpose of trip and its relationship to the mission of the University:



 During the indicated absence, teaching and other assignments will be handled as follows:



 Identify specific source(s) and amounts of funding already solicited and approved for this trip:



 Comments:




 SIGNATURE:                                                                                     DATE:

                                                             APPROVALS
 Department Chair:                                                        APPROVED?                             DATE:

 (Required for all departmental travel)
                                                                           _____ YES _____ NO
 Dean:                                                                    APPROVED?                             DATE:

 (Required only for Chair's travel and any Foreign Travel)
                                                                           _____ YES _____ NO
 Provost:                                                                 APPROVED?                             DATE:

 (Required only for Dean's travel and any Foreign Travel)
                                                                           _____ YES _____ NO
 NOTE: Upon completion of pre-approved foreign travel, please provide a brief report about your trip to the Dean along with your monthly
       expense report (with attached receipts) and a copy of this approved form. The Dean will forward these documents to the Provost for
       information and reimbursement approval.
Provost Office – Revised: February, 2005

								
To top