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Office of the Provost

Lafayette College

TRAVEL NOTICE FORM: FACULTY CONFERENCES

Approximately 4 weeks prior to an approved trip, faculty members must submit a Travel Notice Form that includes an explanation for how any missed classes will be handled and approval by the Department Head or Program Chair. This form serves as the official approval form for Lafayette Travel. Even when a trip has been approved on the previously-submitted Travel Planning Form, expenses may not be reimbursed unless a Travel Notice Form has also been approved prior to the trip by the Department Head/Program Chair and the Provost’s Office.

The Travel Notice Form serves as the necessary confirmation that your trip will be taken and that your Department Head or Program Chair supports your travel. It also serves as an official record.

Your contact information:

First Name:

Last Name:

Primary Department/Program:

Campus Address:

COMPLETE Email Address:

Phone number:

Priority of Trip

First Priority
Second Priority (if applicable)
Third Priority (if applicable)

Conference Travel Information:

Name of Conference:

Dates of Conference (MM/DD/YYYY to MM/DD/YYYY):

Location of Conference, if attending in person:

Name of presentation, lecture, reading, or performance, if applicable

Conference notification of participation, if applicable

Web address for the conference:

Registration costs:

Estimated Transportation Costs, if in-person:

Estimated Lodging Costs, if in- person

Estimated Costs for Meals, if in-person

Total Estimated Costs

Purpose of trip (describe extent of participation):

Describe arrangements made to meet academic responsibilities should any portion of the travel occur when classes are in session.

May this information be shared with the Communications Division for possible follow up for a story?

Yes
No