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Convention Travel Request Form

THIS FORM FOR USE BY MEMBERS OF THE FACULTY OF THE ENGLISH DEPARTMENT AT LOYOLA UNIVERSITY CHICAGO ONLY.

Faculty members who wish to request English department funds to attend a scholarly conference, either as a panel member (presenter, respondent, chair) or as a national officer of the sponsoring body, should please fill out the form below.

While funds may be requested at any time, primary allocations will be made by the department chairperson in the second weeks of September and January. For consideration in these funding cycles, therefore, forms should be submitted by September 6 and January 1 respectively.

PART I: CONFERENCE INFORMATION

Your Name:

Your E-mail Address:

Conference to be attended:

Dates:

City:

Your role:

Session title:

Is attendance confirmed? (YES/NO)



PART II: ESTIMATED COSTS

(a) Airfare:

(b) Ground transportation:

(c) Conference registration:

(d) Hotel: number of nights:

@ cost per night:  

Total accommodation:

(e) Meals:

TOTAL AMOUNT REQUESTED:



ADDITIONAL COMMENTS



Thank you.


Department of English
Crown Center for the Humanities
Loyola University Chicago
6525 N. Sheridan Road
Chicago, IL 60626
773.508.2240

Notice of Non-discriminatory Policy