School of Art: SoA Guest Travel Form Page 1 of 3 . You are 34% complete. School of Art: Guest Travel Form Traveler Information Full Legal Name Required Prefix/ Title First Name Middle Name Last Name Suffix As appears on Passport/ Govt' Issued Photo ID You can leave inapplicable name fields blank. Gender (as listed on Passport/ Govt' Issued Photo ID) Required Female (F) Male (M) Unspecified (X) Undisclosed (U) Unknown (NA) This information is required to book flights. Traveler Date of Birth Required Traveler Phone Number Required Traveler Email Address Required Traveler Mailing Address Required Information required in case a reimbursement is needed. Optional: Traveler Photo ID Drop files here or click to upload. Choose a file… Trip Information Type of Travel Required Domestic International Does the traveler have Traveler's Insurance? Required Yes No Unsure Passport Issuing Country Required Use NA if unsure Emergency Contact Name Emergency Contact Phone Number Purpose of Travel Required Guest Speaker Workshop Facilitator Conference Co-Presenter Research Collaboration Candidate for Hire Travel Justification Required Travel Destination Required Destination Departure Date Return Date Primary Destination Additional Destination Additional Destination I request SoA Staff to book the Following (Check all that apply) Required Flight Lodging Car Rental (Enterprise or Hertz) Taxi (No Tips) Trip Preferences Required Trip Preferences (Flight, Hotel, Itinerary etc.) Drop files here or click to upload. Choose a file… I request reimbursement for the following (Itemized receipts required) Flight Lodging Conference Registration Car Rental (Enterprise or Hertz if available) Taxi (No Tips) Other Ground Transportation Meals (No Alcohol) Baggage Parking Mileage (Limit of 800 miles roundtrip) Reimbursements are not recommended, please allow staff to book everything we can. Receipts for Reimbursement Drop files here or click to upload. Choose a file… Mileage Addresses Required Starting Location Destination Full street address. Faculty Contact Required Funding Information Program Area Cost Center Program Project Endowed Chair IEF/ Research Funding Outreach & Recruitment Startup Other (Please Specify) Other (Please Specify) Worktag(s) and Activity Codes Worktag Activity Code Primary Worktag Additional Worktag Additional Worktag Additional Funding Notes
