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, i.e male (M), female (F), or unspecified or 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 account to use to pay for travel. If a grant, indicate project number or name of grant. Who is your advisor? * Where are you traveling to? (City, State, Country) * Date of Departure * Date of Return * Reason for travel? * * If you are traveling for a conference, please list the name and URL Do you need to register for a conference? If so, please add the URL necessary and follow up with us if there is information we'll need to help you. 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 of this form and include the information on your reimbursement request Will this trip include any personal travel days? Please list dates here: Frequent Flyer Number Please type 0 if there is no Frequent Flyer # Known Traveler Number A unique number assigned to "known travelers" from whom the federal government has already conducted a threat assessment and has determined do not pose a security threat. Please type 0 if there is no Known Traveler # Redress Number Please type 0 if no Redress Number Do you require SCI to book your flight? * Yes No Flight Information 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 Price Per Person (USD) Flight Booking Information Airline * Flight Number Depart City * Depart Date * Depart Time * 121234567891011 : 000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 AMPM Arrive City * Arrive Date * Arrive Time * 121234567891011 : 000102030405060708091011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859 AMPM plus1 Add another flight minus1 Remove Passport Information Passport Number * Passport Issuing Country * Issue Date * Expiration Date * Additional Information Upload a pdf or jpg Drop a file here or click to upload Choose File Maximum file size: 15MB *pdf or jpg please Additional Information Captcha Submit Start Over If you are human, leave this field blank. Δ
