NSF STC Travel Request/Authorization

Name of Traveler:

Social Security #:

Traveling Destination: 

Dates of Trip:

Purpose of trip: 

Are you making a presentation? Yes No
If yes, please specify: Paper Poster
Is there a co-author? Yes No
  If yes, name of co-author:  
  		   

Estimated Cost of Trip:

Meals
# of days 		Price per Meal: Total:
Room
# of days 		Price per Meal: Total:
Transportation: Airfare:   Total:
Mileage (rate=$.31/mile) # of Miles Total:
Registration Fees*   Total:
* If over $30, a document must be sent to: Vicki Haithcock
CB 3290, Venable Hall
Chapel Hill, NC  27599
(919) 962-5469
(919) 962-5467 - fax

Total Estimated Cost:

Amount of STC Request:

An abstract should be submitted upon approval of the Travel Request Authorization form.  Copies of slides should be submitted electronically in Power Point format to Joseph DeSimone.  Reimbursement requests will not be processed until these materials are received.

All presentation materials must use the official logo of the NSFSTC.