Travel Request Form Travel Request Form Step 1 of 616%The fiscal year of the request will be based on the end date of the trip.If you can't complete all steps right now, you may save your data and complete the form later. (The form can also be completed by the faculty member)Name of Requester* First Last Conference/Activity*Address of Event*Please type with proper capitalization and spelling, as your data will appear exactly as you type it. City State / Province / Region AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Reason for request*If you are requesting travel pool funds, please describe how this trip supports your research or creative agenda. Why did you select this particular event?Trip start date Trip end date Save and Continue LaterIf you are requesting funds from the dean's travel pool, you must provide documentation from the event organizers verifying your participation.Please provide one of the following (at least one is required):Option 1 (URL of paper, presentation or screening):Cut and paste the URL of a Web page showing your paper, presentation, or screening: [make sure to copy the full URL including the protocol (http://)] Option 2 (Cut and paste Acceptance letter or other document):Cut and paste the text of an acceptance e-mail or other appropriate document in the text box above. Save and Continue LaterClass Meetings*You are required to complete all field if you will miss classes.No I will not miss anyYes, I will miss some classesIf you miss any classes, what will they be?Who will cover these classes? Save and Continue LaterSelect at least one.* Present conference paper Present creative work Serve as panel participant Moderate panel Administrative duties OtherTitle of paper, creative work, panel or other description* Save and Continue LaterNOTE: Expenses not approved prior to departure will not be reimbursed. Faculty members are personally responsible for abiding by all Temple University policies where reimbursement is requested. Travel policies are available at: https://smc2.temple.edu/community/wp-content/uploads/sites/13/2014/12/Faculty-Travel-Policy.pdfHere are the most relevant links: Foreign Exchange Rates Transportation and Lodging Reinbursement Per Diem Rates by CityAirfare Train Personal Auto Mileage Price: $0.50 Quantity: Auto rental Total Per Diem Requested Hotel Conference registration Other Specify (other)Total $0.00 Save and Continue LaterPlease indicate whether you are asking for fund from the dean's travel pool, or whether you will be using funds from another source (e.g. your department's development fund, or a grant).*Option 1: Request funds from the dean's travel poolUse funds from a FOAPAL not listedEnter the FOAPAL code here (e.g. 100000 170010 7500 04): Save and Continue Later This iframe contains the logic required to handle Ajax powered Gravity Forms.