SIGDA Travel Grant Expense Report
Instructions
1. Use this form only for ACM SIGDA TRAVEL GRANTS. Other programs have their own forms and mailing addresses. 2. Current SIGDA policy allows reiumbursement for travel expenses only (airfare and hotel) up to $500. 3. Attach the following items to this form: original receipts, proof of current ACM membership, proof of publication (if an author), and notice of travel grant approval to this form. 4. Send a brief travel report to robert.b.jones@acm.org
Name: Mailing Address: Address: Address: ACM Member #: Email: Phone: Conference:
Travel Dates: Expenses Airfare Hotel
TOTALS
Original receipts are required.
TOTAL:
EXPLANATION (IF NEEDED):
Send two completed copies of this form to: Dr. Robert Jones Re: SIGDA Travel Grant Intel Corp, RA2-459 2501 NW 229th Avenue Hillsboro, OR 97124
SIGNED: DATE: 11/16/2008 APPROVED: DATE: