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UEP Handbook.pdf - Brown University

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Urban Education Policy Program - Graduate Student Travel Request Form<br />

Fill out this Graduate Student Travel Request Form describing the internship travel or<br />

professional/career development activity, giving the full name of the organization(s) sponsoring<br />

the conference. Prior approval must be obtained from the department before students commence<br />

their trips. Retroactive approval for travel expenses are not allowable. Please submit a form for<br />

each individual trip.<br />

●<br />

●<br />

●<br />

●<br />

●<br />

<strong>UEP</strong> Student Name<br />

Primary Phone (X-XXX-XXXX)<br />

<strong>Brown</strong> Email (email@brown.edu)<br />

Mailing Address (Please list the address where you want the check mailed (i.e., Street<br />

Address, City, State, Zip)<br />

Name of Internship Site or Conference (If traveling to a conference, give the name of<br />

the sponsoring organization(s)<br />

Name of Organization 1; Name of Organization 2; etc.<br />

●<br />

●<br />

●<br />

●<br />

Purpose of trip (i.e., Fulfilling negotiated internship work activities; presenting at this<br />

professional conference; participating as professional/career development.)<br />

Destination (City, State Zip)<br />

Start date of travel (mm/dd/yyyy)<br />

End date of travel (mm/dd/yyyy)<br />

Urban Education Policy <strong>Handbook</strong> page 62

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