Travel Request

First Name *

Last Name *

Email *

Please use your J-School email.

Phone *

Event Details

Name of Event *

Location *

Date of Event *

Travel Justification

What are you traveling? *

Please attach a link to conference program/details or copy your acceptance email into the form. *

Please explain how this travel will improve your teaching or course development, and/or how it will raise the Journalism School’s public profile. *

Rate how essential this trip will be for your job (select one). *

Will you miss any classes? *

Yes
No

What accommodations are you making for the students? *

Estimated Expenses

Please refer to the the GSA for per diem rates and fedrooms.com to locate rooms as a state employee before continuing.

Airfare or train ticket ($)

Other transportation (e.g. rental car, taxis, public transit) ($)

Mileage @.575 per mile - please do the math ($)

Conference registration ($)

Lodging ($)

Please refer to the the GSA for per diem rates and fedrooms.com to locate rooms as a state employee.

Does your hotel rate exceed the GSA per diem? *

Yes
No

Please refer to the the GSA for per diem rates to answer this question.

Meals/Per Diem ($)

Please refer to the GSA for per diem rates.

Any other expenses? *

Yes
No

Other Expenses ($)

Enter a dollar amount to cover other expenses (e.g. baggage fees, internet access, etc.) not specified above.

Please describe these other expenses

Total Expenses

Funding from Other Sources

Any travel funding from other sources, such as conference organizers? Please specify below.

Other Funding Sources ($)

Other Funding Sources Details

Per Diem Overage Justification

Per diem Rate per night ($) *

Actual hotel rate per night ($) *

Overage rate per night ($) *

Please authorize my hotel expense which was higher than the allowed per diem rate because (choose one) *

The hotel is where the conference was held, saving additional transportation expenses.
The hotel was the least expensive hotel in the conference area (attach three quotes for documentation).
It was the only hotel available in the conference area.
The hotel had a discounted rate, because it was suggested by the conference.
The hotel was within walking distance to the conference site.
Other Other Other

Please upload file(s) with quotes from three hotels exceeding per diem amount *

Drop files here or

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