Psychology Pre-Travel Form

To be completed prior to travel or event. For virtual and in-person attendance to conferences, workshops, etc.

Name Name * First Last
Panther ID *
Must be between 6 and 7 digits. Currently Entered: 0 digits.
Phone *
Email *
Funding Source (GPSC, PI, Grant, etc.) Enter source as well as account or activity number *
Travel Start Date Travel Start Date * / MM / DD YYYY
Travel End Date Travel End Date * / MM / DD YYYY
Travel Destination (if Virtual, enter "Virtual") *
Name of Event *
Type of Event *
If "Other" include type of event
Purpose of travel and benefit to FIU (Be specific) *
Maximum of 100 words allowed. Currently Entered: 0 words.
Estimated Airfare Costs $ Dollars . Cents
Estimated Mileage (to and from destination in miles if driving)
Estimated Registration Costs $ Dollars . Cents
Estimated Lodging Costs $ Dollars . Cents
Estimated Incidental Costs (Ensure funding source covers these if expecting reimbursement) $ Dollars . Cents