$650 ALLOCATION
RE:  ACADEMIC PRESENTATIONS AT CONFERENCES
HELD BETWEEN JULY 1/2000 - JUNE 30/2001


 

___________________________________
NAME

_____________________________
  EMPLOYEE ID#

 
    _____________________________________________________________________
    TITLE OF AUTHORED PAPER

____________________________________
DATE OF CONFERENCE

_____________________________
  DESTINATION

 
   PLEASE TRANSFER TO
   MY PDA ACCOUNT#  __________________________________________________

 

___________________________________ 
SIGNATURE

______________________________
   DEPARTMENT/SCHOOL

 

___________________________________ 
CHAIR/DIRECTOR'S APPROVAL


 

 _____________________________
  DATE


 
Please return completed form to the Faculty Dean's Office for processing.