High Energy Astrophysics (HEAD)
 
Foreign Travel Request Form

 

For Foreign Travel Coordinator Responsibilities Click Here

For Logistics Management Responsibilities Click Here

Traveler's Name First
 Last
Destination
City/Country		 City #1
 City #2

*Not Applicable 		 City #3

*Not Applicable 
Dates of Travel
MO-DD-YEAR 		City#1
From:
To:    
e.g. 02-02-2000		 City#2
From:
To:    
*Not Applicable 		 City#3
From:
To:    
*Not Applicable 
Proposed Funding
Project		 City #1

e.g. my ADP Grant		 City #2

*Not Applicable 		 City #3

*Not Applicable 
Supplemental
Travel Funds
(Select all that apply)
Click here: What is ROF?		 City#1
Send copy of Host's letter/email to your administrative support person
Y N 
Request supplemental ROF funds
Y N 		 City#2
Send copy of Host's letter/email to your administrative support person
Y N 
Request supplemental ROF funds
Y N 		 City#3
Send copy of Host's letter/email to your administrative support person
Y N 
Request supplemental ROF funds
Y N 
Meeting Dates
MO-DD-YEAR 		City#1
From:
To:    
e.g. 02-02-2000		 City#2
From:
To:    
*Not Applicable 		 City#3
From:
To:    
*Not Applicable 
Dates of
Non-Business
Travel		 City#1
From:
To:    
e.g. 02-02-2000 
*Not Applicable  		City#2
From:
To:    
*Not Applicable 		 City#3
From:
To:    
*Not Applicable 
Is a Layover
in Another City
Likely?		 Yes No  
If yes, what city? 		Yes No  
If yes, what city? 		Yes No  
If yes, what city?
Why is
Layover Req'd?
*Not Applicable 
*Not Applicable 
*Not Applicable 

Purpose of Travel
Select Option A or B and complete one for each city to be visited.

A.  Attend Conference/Workshop/etc.
Website for
meeting info
available?		 City#1
Yes No 
If yes, insert web address here
 City#2
Yes No 
If yes, insert web address here
 City#3
Yes No 
If yes, insert web address here
Title of
Meeting		 City#1
 City#2
 City#3
Presentation City#1
Invited Talk Oral Poster		 City#2
Invited Talk Oral Poster		 City#3
Invited Talk Oral Poster
Title of
Talk/Paper		 City#1
 City#2
 City#3
Abstract
*PLEASE USE
CARRIAGE RETURNS
after each
Paragraph		 City#1
 City#2

City#3

If attendance includes "Other" purpose, go to "B" and complete Section. If no website, go to "B" and complete Purpose and Benefits

B.  Project Technical Discussions
Name of
Colleague(s)
being visited		 City#1
 City#2
 City#3
Hosting Institution(s) City#1
 City#2
 City#3
Discussion/
Purpose
(2-3 sentences)		 City#1
 City#2
 City#3
Benefits of
Objectives
Derived by
Project?		 City#1
 City#2
 City#3

Budget Estimate

 City#1 City#2 City#3
Air Fare Yes No  Yes No  Yes No 
Train Yes No  Yes No  Yes No 
Ferry Yes No  Yes No  Yes No 
Lodging Yes No  Yes No  Yes No 
M&IE Yes No  Yes No  Yes No 
Car Yes No  Yes No  Yes No 
Registration
Fee (Currency)		 Yes No  Yes No  Yes No 
U.S. Ground
Transportation		 Yes No  Yes No  Yes No 
Foreign Ground
Transportation		 Yes No  Yes No  Yes No 
Baggage
Handling (e.g., Japan)		 Yes No  Yes No  Yes No 
Tapes (e.g., CTIO) Yes No  Yes No  Yes No 
Miscellaneous Yes No  Yes No  Yes No 
Additional
Comments
e.g., Air Bos/Rome;
Geneva/Bos.
Cf. Host Ltr


    
     
 

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