Notice of Absence and Conference Travel Request Form
Today's Date
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Month
-
Day
Year
Department
Please Select
Education
Political Science and Criminal Justice
Psychology, Sociology, and Social Work
Name
First Name
Last Name
Email
Notice of Absence
Please Select
Yes
No
Date(s) of Absence
Travel Location
Please complete the Conference Travel Request Form below (if applicable)
Conference Title
Description
I will be requesting mileage reimbursement for this trip.
Yes
No
Expenses
Estimated Cost
Registration Fee
AirFare
Hotel
Rental Car
Meals
Total
Are you neding to pay for a membership and/or conference fee?
Please Select
Yes
No
Account Name (if applicable)
Account Number (if applicable)
Submit
Should be Empty: