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Student Affairs Graduate Association Florida International University Email: fiusaga@yahoo.com http://www.fiu.edu/~saga/ Funding for Professional Development Travel Request Form Date of application (mm/dd/yyyy): ________________________________________________ Last Name: ___________________________ First Name: _____________________________ Address: _____________________________________________________________________ City: ________________________________ State: _______ Zip code: ___________________ Home Phone: _________________________ Other Phone: ____________________________ Email: ______________________________________________________________________ Checklist of Documents Required Prior to Departure: ___ Letter of support from your advisor (only one letter needed if traveling as a group) ___ Letter stating benefits to you and SAGA ___ Detailed Budget (state the source of funding for registration fees, transportation, and accommodations) ___ Release & Indemnity Form Checklist of Steps Required After Return: ___ Summary of trip presented at SAGA General Meeting Official Name of Event: __________________________________________________________ Location of Event: ______________________________________________________________ Departure Date (mm/dd/yyyy): _____________ Return Date (mm/dd/yyyy): ___________ ______________________________________________________________________________ For Official Use Only Presentation at SAGA Meeting after travel Date (mm/dd/yyyy): _________________ The above named person has met the requirements necessary to receive funding through our Professional Development Travel Program. Please provide with funds. Thank You. Authorized Signatures SAGA President's name/signature: _________________________________________________ SAGA Treasurer name/signature: __________________________________________________ Created on 1/18/2005 |