ALABAMA AGRICULTURAL EXPERIMENT STATION

Request for Travel Support for Multi-state or Regional Meeting

1. Applicant_______________________________              Office Phone _______________

Office Address___________________________               Department_________________

E-mail Address__________________________

Faculty Rank/Title________________________

Hatch/Multi-State Proj. No._______

Date and location of meeting: ___________________________________

Amount requested from Multi-state funds: $_____________

1. Departmental or other funds for matching, please itemize below:

            Source__________________________ Amount $______________
            Source__________________________ Amount $______________

Submit this information to AAES, 107 Comer Hall prior to travel.

_______________________________________________________________

APPROVALS:

________________________________________         _________________________________
Faculty Applicant                          Date                         Dean/Administrator                 Date

______________________________
Department Head/Chair