HPELS Faculty Travel Request- Estimated Expenses Form
2015-2016
NAME:
DATE:
NAME OF CONFERENCE:
DATES OF TRAVEL:
CONFERENCE LOCATION:
Do you plan on presenting?
YES
NO
If yes: Please include the following information- (a) Date of abstract submission,
(b) Estimated timeframe for abstract acceptance, (c) Type of presentation
requested, (d) Are students co-presenting or co-authors?, (e) Will you still attend if
your work is not accepted?, (f) Are you seeking any other outside
funding/assistance for travel?
ESTIMATED EXPENSES (please include best estimations for all applicable):
Conference Fees
Hotel Accommodations
Airline tickets
Mileage
(Roundtrip miles x .28/mile)
Per Diem
($8 b’fast; $12 lunch; $20 dinner)
Total Expenses:
*Please submit completed forms to Dr. Corbett NO LATER THAN OCTOBER 1,
2015.
**Student travel requests will also be considered- please complete a separate form
for your students. All students attending the same conference may be listed on the
same request.