Submit Travel Request to SCI Travel Form Traveler Information Last Name * First Name * Middle Name uNID * Cell Phone * Traveler Date of Birth * Traveler Gender * Select an OptionMFX Please select the gender marker as it appears on your valid government-issued ID: male (M), female (F), or unspecified/another gender identity (X). Traveler Email * Travel Information Has your advisor approved this travel? * Yes No N/A What is the funding source? * Please indicate the account to be used for travel expenses. If using a grant, specify the project number or grant name. Have you received a travel award from the Graduate Student Travel Assistance Office? yes no If yes, please provide your award information in the notes section of this form and include it in your reimbursement request. Award Information Where are you traveling to? (City, State, Country) * Date of Departure * Date of Return * Purpose of travel * Will this trip include any personal travel days? Please list dates here: Does this trip require purchasing a conference registration? * Yes No Estimated Conference Registration Cost Name of Conference * Estimated Cost * plus1 Add Entry minus1 Remove Entry If you would like SCI to purchase your registration, please add the necessary URL and all information needed for the registration Estimated Transportation Cost (airfare, car rental, personal car, etc.) Type of Transportation * Estimated Cost * plus1 Add Entry minus1 Remove Entry Do you require SCI to book your flight? * Yes No Domestic/International * Domestic International Fare Type * Highly Restrictive Fare: No changes or Advance seat assignmentsLowest Nonrefundable Fare: Penalties for changesLowest Refundable FareBusiness/First Class Fare: 8+ hours flight segments Flight Information Airline * Flight Number Departure City * Departure Date * Departure Time * 121234567891011 : 0030 AMPM Arrival City * Arrival Date * Arrival Time * 121234567891011 : 0030 AMPM plus1 Add Entry minus1 Remove Entry Frequent Flyer Number Please type 0 if there is no Frequent Flyer # Known Traveler Number A Known Traveler Number (KTN) is assigned to individuals who have undergone a federal threat assessment and are considered low-risk travelers. Passport Information Passport Number * Passport Issuing Country * Issue Date * Expiration Date * Estimated Hotel/Accommodations Cost Name of Hotel or Accommodation * Estimated Cost * plus1 Add minus1 Remove Do you require SCI to book your hotel accommodations? Yes No If you require SCI to book your hotel, please include the hotel information in Additional Information section in the box below Additional Information File Upload Drop a file here or click to upload Choose File Maximum file size: 5MB Additional Information Total Estimated Travel Expenses: While there may be additional incidental expenses, such as ground transportation and meals per diem, this estimate is intended to reflect the largest anticipated costs associated with the trip. Captcha Submit Start Over If you are human, leave this field blank. Δ
