IMSE Faculty/Staff Travel Authorization Form

Name(Required)

First Last

University Email(Required)

Faculty/Staff(Required)

Faculty

Staff

Departure Date(Required)

First day of travel

Return Date(Required)

Last day of travel

Place(s) to be visited(Required)

Business Purpose (Why is it important; what is the benefit to the University?)(Required)

Do you have course coverage for the duration of this trip?(Required)

Yes

Not teaching this semester

Please indicate who will be covering your classes.(Required)

Please include dates, classes, and instructor/activity.

Please explain why you do not have course coverage.(Required)

If traveling with others from ISU, please list their name(s) here.

If travel expenses are to be paid by the department, please list expected expenses AND the worktag(s)/account name(s) to pay from.(Required)

Please enter N/A if the department will not be paying for any expenses related to this trip.

Comments/Questions