All Fields marked with an asterisk (*) are required
If more than one, add a comma(,) after each phone number
If more than one, add a comma(,) after each email address
Please explain how this travel relates to your official duties. Include any conferences, seminars, meetings, or other events you plan on attending or participating in. *
For the following section, please list, to the best of your current knowledge, hospitality or entertainment you plan to use or participate in during travel.
If no, how much is the additional fee for the hospitality/entertainment?
Please include the estimated total value of your travel, not including the cost for any hospitality or entertainment not included as part of the base registration fee. If you are unsure of specific values because lodging/transportation/etc. have not been finalized, please include your estimated budget.