VCU MASC Travel Request Form

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VCU School of Mass Communications

Faculty Travel Request Form: 2013-2014 (7/1/2013-6/30/2014)

Submitted by:

Date of Submission:

Name of Organization/Conference:

Location:

Dates:

Nature of participation

(Check all that apply):

____

Presenting at the conference

(e.g. panel discussion, poster session, etc.)

____Presentation acceptance(s)/invitation(s) received (please attach a copy of the confirmation)

____Planning for/anticipating submissions & acceptances of convention papers, proposals, etc.)

____

Receiving faculty award OR receiving student award as faculty advisor

____

Chairing/Moderating a session

(please list the session you are committed to chair/moderate)

____

Serving as organization/conference officer and attending business meetings

(please specify your officer title and responsibility)

____

Other

(please specify and provide supporting document)

Approximate cost of travel (provide breakdown, if possible, for airfare, registration, etc.)

Airfare/Rail/Personal car:

Registration:

Meals (per diem rate if faculty/staff):

Lodging:

Other:

Total travel request:

Source and amount of funding requested

(Check all that apply):

____School travel fund

____Faculty start-up (tenure-eligible faculty only)

____Grant (please specify)

____Other (please specify)

Does the organization/conference provide any funding support for the following?

(Check all that apply):

____Yes (If yes, please list the amount for each of the following):

_____transportation ____lodging ____registration ____ meals

____No

School Review Notes

Review date:

Review decision:

Comments:

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