Provost Award for Faculty Travel
CITR/ODES
Faculty Information
Name
*
First Name
Last Name
WIU Email
*
example@example.com
Phone Number
Please enter a valid phone number.
College Affiliation
*
College of Arts and Sciences
College of Business and Technology
College of Education and Human Services
College of Fine Arts and Communication
University Libraries
Other
Please provide the WIU email address of your College's Dean
*
example@example.com
Department
*
Please provide the WIU email address of your Department's Chair
*
example@example.com
The Provost Travel Awards are only available to eligible Unit A faculty. Please confirm your status :
*
Full-time Tenure-Track Faculty
Full-Time Tenured Faculty
Full-Time Tenured Faculty on Sabbatical
I have read and I understand the policies and procedures as spelled out on the Faculty travel page of the CITR website, and I confirm that I am eligible for this award.
*
Yes
No
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Conference Information
In what term does the conference occur?
*
Fall 2022
Spring 2023
Conference Title
*
Conference Location (City, State, Country if applicable)
*
Conference Level
*
State
Regional
National
International
Number of days attending
*
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Presentation Information
Presentation Title
*
Presentation Date
*
-
Month
-
Day
Year
Date
Presentation Type
*
Poster Presentation
Paper Presentation
Workshop Presentation
Panel Discussion
Other
If "other" was selected, please describe your presentation type:
Session Length
*
Session Description
*
Relation to Professional Duties
*
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Budget Information
Anticipated Expenses for this Conference
*
Budget
Registration Expenses
Hotel Expenses
Other Expenses
Travel Expenses
Please define "Other Expenses"
Anticipated Funding Sources for this Conference
*
Budget
Provost Travel Award
Annual Travel Funds from College
Annual Travel funds from department
Matching Funds for this event
Honorarium
Submit
Should be Empty: