Division of Engineering, Business and Computing Year: Select Year20132014201520162017 Month: Select MonthJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember Day: Select Day12345678910111213141516171819202122232425262728293031 Name: E-mail: Purpose of Travel: (Check one): to present a paper to serve as a moderator or discussant to serve as a committee chair or member other, please specify: If you are presenting a paper, please give the following information: Title: Authors: Name of Conference: Location: Dates of Travel: Travel Beginning Year: Select Year20132014201520162017 Month: Select MonthJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember Day: Select Day12345678910111213141516171819202122232425262728293031 to Travel Ending Year: Select Year20132014201520162017 Month: Select MonthJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember Day: Select Day12345678910111213141516171819202122232425262728293031 Has your proposal for a paper been accepted? Yes No (If "NO," please send confirmation of acceptance to your Division Head before traveling.) Proposed Budget: Registration: $ Airfare: $ Shuttle: $ Mileage: # Miles x reimbursement rate = Subtotal for Mileage $ Lodging: # Nights x Cost per Night $ = Subtotal for Lodging $ Meals: # Days x Meal Cost per Day $ = Subtotal for Meals $ Miscellaneous, please explain: $ Total Budget: $ Other Funding Sources: ? $ Funding Needed: $ Deadline: Due JUNE 1 for July 1 of this year to June 30 of next year. Travel Reimbursements: Submit all receipts to: Gail Chiriani, EBC Division