Student Travel Funds Request Form

This form should be filled out AFTER you have received approval for funds from the Undergraduate Research Committee Chair.  If you have not yet received approval please complete a Proposal Form first.

* denotes required field

Please do NOT use special characters such as $, /, \, etc. in the form fields.

*Type of Grant: Student Travel Award ACRE Award

* Traveler’s Name * Phone

* Faculty Sponsor * Your e-mail address:

* Destination * Leaving * Returning

* Purpose

For ACRE Award Only

Interim Summer Year 20

Project Title:

Account Number:

* Mode of  Travel  Air Auto Train Bus

Hotel Accommodations: Yes No

* Expenses:

$ Major Transportation Fare
$ Minor Transportation Fare
$ Lodging
$ Meals
$ Registration
$ Miscellaneous
$ _____________ Total Expenses (this will be calculated for you)
$ _____________ Net Amount Due (this will be calculated for you)

* Please enter the following red letter exactly as shown:   image