Student Travel Request : Department of Psychology : Texas State University

Your Name *

Your TXST E-Mail *

Destination *

Date Travel Begins *

Date Travel Ends *

Conference *

Date Conference Begins *

Date Conference Ends *

Presentation Title *

Are you the lead or presenting author on the poster presentation at the conference? *

Yes

No

Presentation Authors *

Are you currently an employee of Texas State University? *

Yes

No

Job Title

Department

Classification *

Graduate

Undergraduate

Major *

Minor

What faculty member encouraged you to attend conference?

Will you be sharing a hotel room?

If you are driving, will others be traveling with you?

Yes

No

Who (if known)?

Compliance Agreement *

I agree to comply with Texas State Travel Office polices and the State of Texas Travel Allowance Guide (http://www.txstate.edu/gao/ap/travel/)

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