Travel Request Form

Name(Required)
(T00123456)
Classification
Purpose Of Travel(Required)
Must submit verification of accepted proposal for conference and/or of faculty email with date/time of appointment
mm/dd/yyyy
Example: 03/05/2019 11:30 AM
Example: 03/05/2019 11:30 AM

Budget request

(If any questions are left blank, LSAMP will not cover any portion of that budget area.)
What is the anticipated air fare costs for the dates specified? (Use Travelocity.com to estimate your cost)
What is the combined anticipated cost for ground transportation to your hotel and then back to the airport?
To drive, you must supply us with additional information so we can get you approved to drive through the university.
For what portion of the registration costs are you requesting assistance?
Which ones are you requesting assistance of the meals not covered by the conference, if applicable? Your answer should include the number of Breakfast (B), Lunch (L), and Dinners (D). (For example, 2B, 2L, 1D.) If attending a conference, you will need to supply the agenda so we can double check what is covered during the conference.
CONFERENCES: Include the daily cost requested and dates of check in and check out. We will assume you will be staying at the conference hotel. GRADUATE SCHOOL VISITS: Include the website to the hotel you will be staying in, if applicable. Before requesting accommodation for a visit, check with the department as to whether there are any graduate students with whom you might stay. This is sometimes an option.