Pre-Travel Request Form This form must be completed before any out of state travel for the School of Social Work. If this form is not completed then the School cannot guarantee how much funding will be available for your trip. Traveler InformationName* First Last Todays Date* Email* Purpose of TravelPurpose of the trip*List the purpose of the trip. If this is a conference then put the name of the conference.Departure airport*Bradley International AirportDo you need a Bradley Parking Permit?* Yes No Destination*Is your trip international?*YesNoDeparture Date* Return Date* Personal TravelIs there personal time on your trip?* Yes No Personal Time Start* Personal Time End* Travel FundingPlease indicate your travel funding for this trip* Department Funds AAUP/OVPR Travel Award Foundation Account Grant Account Host Institute Self Funded Other Was your AAUP/OVPR travel award sent to the finance department?* Yes No Select Yes if you put someone in the SSW Finance Department as your Admin Contact on the AAUP/OVPR Award ApplicationAAUP/OVPR Award Upload*Please upload your AAUP/OVPR Travel AwardPlease write the name of the grant*Please list the other funding sources*Estimated ExpensesIf an expense will NOT be reimbursed or direct billed please put 0Conference Registration Cost ($)*Airfare Cost ($)*Lodging Cost ($)*Meal Cost ($)*Mileage Cost ($)*Mileage rate is 0.545 per mileGround Transportation Cost ($)*Parking/Tolls Cost ($)*Miscellaneous/Other Cost ($)*Please Explain Misc/Other Exspenses*Direct BillingDo you need your registration direct billed?*YesNoIf you need your registration direct billed contact Iris Strong or Carmen Feliciano-Ragland in the Finance OfficeSanditz BookingPlease check any expenses that were booked thru Sanditz* Airfare Hotel Car Rental Rail None Please upload your Sanditz itineraries* Drop files here or Accepted file types: jpg, gif, png, pdf, html, msg.