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Visiting Educator Request

SUPPORT REQUEST FORM

Please fill out this form to request funding for a visiting educator (be sure to put a value in every field). When you hit the submit button, your completed version of this form will be directly emailed to the Office of the Provost Dean of the Faculty. You will receive an e-mail acknowledging receipt of your request. It may be wise to then print a copy for your own records. Forms are due by MONDAY, March 31, 2008. To print a version of this form as a Word Document, please click here.

For assistance with cost estimates, see Budgeting Guidelines.

  Date Today's Date (Auto-generated in actual form) Request for
      Academic Year:
         
  From: Department:
  (person making request)    
  I would like to invite: on these dates:
  Mailing Address of visitor    
       
       
  We anticipate the following schedule of meetings and/or presentations (must include public lecture). Please give specific information, i.e. area of specialization, title of presentation, contribution to curriculum:
 
 
 
 
       
  Anticipated expenses:
(A total cost is presented to the Committee for consideration. Please include your best estimate for each expense listed. Please do not use dollar signs ($))
       
  Advertising (flyers, posters, ads, etc) Estimated Cost:
       
  Honorarium (maximum $500)   Estimated Cost:
       
  Transportation Estimated Cost:
  (please select one)    
  Lodging nights Estimated Cost:
  Preference: Please do not budget for Baker Faculty Center unless you know it is available and have made the reservation.
 on campus:
   
  off campus:    
  no lodging:    
       
  Meals/Reception Estimated Cost:
  (hold CTRL - all that apply)    
  (In order to keep costs within reason we suggest that only the members of the department whose professional interests are closest to those of the guest accompany him/her to dinner).