English Department Travel Funding Request

Select Your In-Department Designation*

Faculty
Graduate Student

Name*

First Last

UF Email*

UF ID Number*

(No punctuation, ex. 01234567)

Conference Name and Trip Purpose*

Ex. Paper Presentation; Round Table Discussion; Poster Presentation

Conference Format

Will you be attending this conference virtually/remotely?

Yes
No

Departure Date

Start Time of Departure Trip

:

Departing From / Arriving To (where the conf is)

Please list both the city you're leaving and where you're traveling to--Ex. Gainesville to San Francisco

Return Date

Start Time of Return Trip

:

Departing From / Arriving To

Please list both the city you're leaving and where you're returning to--Ex. San Francisco to Gainesville

Travel Costs

Airfare Cost

Lodging Cost

Please include your incurred per night cost, rather than the total for the entire trip.

Are you sharing a room?

Yes
No

Name(s) of Other Room Occupants

Are the other room occupants UF affiliated?

Yes
No

What are the departments and UF IDs of the other room occupant(s)?

Is the room price the same for a single occupant?

Only select 'no' if additional occupants are not UF affiliated.

Yes
No

Documentation of Single Room Price

If you selected 'no' above, please attach documentation of single room price.

Drop files here or

Accepted file types: pdf, jpg, jpeg, png, gif, doc, docx, Max. file size: 15 MB.

Are you driving your personal vehicle?

Yes
No

Reimbursement is 44.5¢/Mile (though proof is needed that driving will be cheaper than flying). LIMIT OF 750 MI

Please list the names of any UF affiliated passengers riding with you.

Do you need a rental car?

Please use only Avis rentals, as we cannot reimburse charges for other companies. (For further information, please view the State of Florida Contract (78111808-20-1)-- https://www.dms.myflorida.com/business_operations/state_purchasing/state_contracts_and_agreements/state_term_contracts/rental_vehicles/complete_contract_contract)

Yes
No

Please list the names of any UF affiliated passengers riding with you.

Conference Dues/Membership Fees

For virtual conferences only, please note any conference fees or membership dues you'd like reimbursed.

Funding Sources

Do you need funding from the department for this travel?*

I am requesting department funding.
I am not requesting department funding.

List any other funding received for this travel.

UF International Travel Checklist

Please complete this form before you travel abroad on behalf of the University of Florida. Please do so for each trip even if it involves repeated visits to the same country.

Please list the countries you're traveling to.

Trip 1 Start Date

Trip 1 End Date

Trip 2 Start Date

Trip 2 End Date

Trip 3 Start Date

Trip 3 End Date

Please Confirm

I have consulted with my clinician or a travel clinic about my international travel and have received necessary vaccines and travel medication.

Yes
No

Please Confirm

As required I have registered my international travel with the International Center (http://www.ufic.ufl.edu/travelregistration.html) and have received my TeamAssist card.

Yes
No

Please Confirm

If I am traveling to an embargoed country, I have additionally read the UF policy at http://www.ufic.ufl.edu/TravelEmbargoed.html, and as required I have contacted Dean Leonardo Villalón.

Yes
No
n/a

Passport Number

Date of Passport Issue

Hidden

Date of Passport Expiration

Please enter in MM/DD/YYYY format

Passport Country of Issue

Your Current Country of Residence

Approved? (Admin Use Only)

Approved
Rejected

Comments/Notes (Admin Use Only)

English Department Forms