College of Engineering Travel Cost Share
Request (Fill & Print) Form - Fiscal Year 2007/2008

Please complete electronically, print, obtain appropriate departmental signatures, and
mail to:  Ruth Weber - 101 Hammond Bldg. ( rweber@engr.psu.edu or call 863-7013 )

NAME:  (Student/Advisor)  
DEPARTMENT:  
CONFERENCE/WORKSHOP TITLE:  
DESTINATION:  (City and State, please)  
TRAVEL DATES:  (M/D/Y through M/D/Y)  
     
Please provide a brief explanation below as to the purpose of the trip (e.g., Research Development, Paper
Presentation, Grad Student, etc).
Proposed Cost distribution:
Department Share: $  


_______________________________________
(Dept. Head Approval Signature)
____________
(Date)
College Share: $  

_______________________________________
(John M. Mason, Jr., Ph.D., P.E., Associate Dean)
____________
(Date)
Other (Research $$): $  

____________________________________________________

 
Total Est. Trip Cost: $