Graduate Conference Travel Request Form

2019-20 Conference Travel Funding Request Form

For conference travel through June 30, 2020.

Personal Information
Name*
First Last
UID
Email*
Please use your @ucla email address.
Street Address*
Street Address Line 2
City*
State / Province*
Zip / Postal Code*
Have you received department support for conference travel (non-MLA) in the current academic year?*
- Yes
- No
Amount of department support received so far in the current academic year*
If none, please enter zero.
Have you applied for funding of this trip from another organization?*
- Yes, and I have received funding.
- Yes, but I do not yet know if I will receive funding.
- No
Name of Organization
Amount applied for or received*
If no outside funding sought or received, please enter zero.
Conference Information
Conference Title*
Sponsoring Organization*
Paper Title*
Conference Venue*
Name of hotel, conference center, university, e.g.)
Conference City*
Conference State or Province
Conference Country (if outside U.S.)
Evidence of Participation*
Please upload conference organizer's acceptance letter or relevant pages (including title page) from the conference program.
Max. file size: 50 MB.
Conference Start Date*
Month
Day
Year
Conference End Date*
Month
Day
Year
Travel Dates
Departure Date*
Month
Day
Year
Return Date*
Month
Day
Year
Conference-Related Expenses (Estimate if necessary)
Registration Fee
Please exclude membership fees and meal plan charges.
Airfare
Car Rental
Do not include insurance, GPS charge, etc.
Fuel (for rental car)
This field is for fuel charges NOT included in final car rental invoice.
Mileage Expense
$0.58 per mile for use of personal car to travel to and/or from the conference. Total is limited to the equivalent cost of a typical coach air ticket to the same location.
Lodging
Ride Services (Uber, Lyft, e.g.)
Other Ground Transportation (Rail, bus, e.g.)
Other expenses
Please list amounts and descriptions.
TOTAL CONFERENCE-RELATED EXPENSES*
Transportation, Lodging, and Registration
Additional Comments
This field is for any additional information you would like to include.

Graduate Conference Travel Request Form

2019-20 Conference Travel Funding Request Form

Personal Information

Conference Information

Travel Dates

Conference-Related Expenses (Estimate if necessary)