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_____________________________________ NAME OF APPLICANT (please print) |
____________________________ EMPLOYEE ID# |
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TITLE OF FORMAL PRESENTATION
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NAME OF ORGANIZATION PRESENTED TO
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______________________________________ DATE OF CONFERENCE |
_____________________________ DESTINATION |
PLEASE TRANSFER TO ACCOUNT# ______________________________________
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_____________________________________ APPLICANT'S SIGNATURE & DATE |
______________________________ NAME OF DEPARTMENT |
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DEPARTMENT HEAD'S SIGNATURE & DATE |
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Vice-President, Administration APPROVAL |
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DATE |
________________________________________________________________________
Contact Name, e-mail address and extension (please print)
NOTE: PLEASE ATTACH A COPY OF THE CONFERENCE AGENDA TO THIS APPLICATION AND A TOTAL OF COSTS EXPENSED
Please return completed form to the Office of the Vice-President, Administration for processing.