LACC Faculty Funding Request Form

Please take a moment to provide us with pertinent information as it relates to each item below. Upon completion, please scroll to the bottom of the page and click "submit form." ALL fields are required

Name Name First Last
Email
Department
Rank
Destination
Start Date of Travel Start Date of Travel / MM / DD YYYY
End Date of Travel End Date of Travel / MM / DD YYYY
Purpose of Travel
Estimated Total Budget
Airfare (Total Budget)
Hotel (Total Budget)
Meals (Total Budget)
In-country Transportation (Total Budget)
Airport Taxes (Total Budget)
Amount of Funding Requested from LACC
Airfare (LACC Funded)
Hotel (LACC Funded)
Meals (LACC Funded)
In-country Transportation (LACC Funded)
Airport Taxes (LACC Funded)
Amount of Funding Requested from Other FIU Units
Airfare (Other FIU Funding)
Hotel (Other FIU Funding)
Meals (Other FIU Funding)
In-country Transportation (Other FIU Funding)
Airport Taxes (Other FIU Funding)
Select

Select I agree to formally recognize LACC support in all presentations or publications related to this travel support and submit my conference paper to LACC, within 30 days from the culmination of travel, for inclusion in the LACC Working Paper Series in exchange for up to $500 in travel funding. I agree to formally recognize LACC support in all presentations or publications related to this travel support and submit my conference paper to LACC, within 30 days from the culmination of travel, for inclusion in the LACC Working Paper Series in exchange for up to $500 in travel funding.
Explanation of direct benefit to LACC's academic, research, and/or outreach objectives (eg. establishment of linkages; student recruitment; publishing recognition of LACC; etc)
Please provide a brief bio and a copy of the letter of invitation, planned activites and/or conference program

LACC Faculty Funding Request Form

LACC Faculty Funding Request Form

Estimated Total Budget

Amount of Funding Requested from LACC

Amount of Funding Requested from Other FIU Units