TITLE III TRAVEL JUSTIFICATION FORM

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Clark Atlanta University Title III Program TRAVEL JUSTIFICATION FORM TITLE III TRAVEL JUSTIFICATION FORM Title III Activity Name: __________________________________________ Budget No.: ______________ Grant Year: _______________________________ Traveler Name: ______________________________________ Traveler Title: _________________________ Name of Convention/Conference/Meeting/Workshop: __________________________________________________ Location of Convention/Conference/Meeting/Workshop: ________________________________________________ Dates of Convention/Conference/Meeting/Workshop: __________________________________________________ Purpose for Attendance: (check which apply) Presenter Participant What is the focus of the meeting? _________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ List the activity objective this Convention/Conference/Meeting/Workshop will help to accomplish? ______________ _____________________________________________________________________________________________ List the sessions and corresponding objectives that are applicable to your Title III Activity? ___________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ How will the information obtained during this travel impact your CAU Title III Activity objective? _______________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ Total Anticipated Cost: $________________ Amount requesting from Title III: $__________________ _________________________________________ _____________________________ Participant’s Signature Date _________________________________________ _____________________________ Activity Director’s Signature Date _________________________________________ _____________________________ Title III Director’s Signature Date

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C l a r k A t l a n t a U n i v e r s i t y T i t l e I I I P r o g r a m

T R A V E L J U S T I F I C A T I O N F O R M

TITLE III TRAVEL JUSTIFICATION FORM

Title III Activity Name: __________________________________________ Budget No.: ______________

Grant Year: _______________________________

Traveler Name: ______________________________________ Traveler Title: _________________________

Name of Convention/Conference/Meeting/Workshop: __________________________________________________

Location of Convention/Conference/Meeting/Workshop: ________________________________________________

Dates of Convention/Conference/Meeting/Workshop: __________________________________________________

Purpose for Attendance: (check which apply) Presenter Participant

What is the focus of the meeting? _________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

List the activity objective this Convention/Conference/Meeting/Workshop will help to accomplish? ______________

_____________________________________________________________________________________________

List the sessions and corresponding objectives that are applicable to your Title III Activity? ___________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

How will the information obtained during this travel impact your CAU Title III Activity objective? _______________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

Total Anticipated Cost: $________________ Amount requesting from Title III: $__________________ _________________________________________ _____________________________ Participant’s Signature Date _________________________________________ _____________________________ Activity Director’s Signature Date _________________________________________ _____________________________ Title III Director’s Signature Date