Form

Intercampus Travel

Deadlines for intercampus travel grant applications have been eliminated. However, applications must be received at least 10 days before the trip departure date. Read the grant regulations before completing this application. Grants are subject to availability of funding.

All fields required.

Applicant's Name

Department or School

Telephone Number

E-mail Address

Title:

Destination City

Departure Date

Return Date

Amount Requested $

($250 is the maximum grant.)

Reason for intercampus travel

Invited faculty member's name and their UC Campus

I acknowledge and agree to the terms of this grant. I accept

A copy of the travel voucher must be submitted to COR within 15 days of the return date.

Before submitting, please verify all information and print a copy for your records. In addition, a confirmation e-mail will be sent to your e-mail address.

All fields required.
Applicant's Name
Department or School
Telephone Number
E-mail Address
Title:
Destination	City
Departure Date
Return Date
Amount Requested	$
($250 is the maximum grant.)