:: NIERENBERG HALL BUSINESS OFFICE ::

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DEPARTMENTS

CALIFORNIA SPACE INSTITUTE
CENTER FOR ATMOSPHERIC SCIENCE
CLIMATE RESEARCH DIVISION
PHSYICAL OCEANOGRAPHY RESEARCH DIVISION

Personal Information
First Name		Last Name
		ID#
Are you here under a visa	Yes No	Visa Type
UCSD Employee	Yes No
Phone Number		E-Mail
Supervisor/Approving Officers Name
Fund Manager
Trip Information
Travel Dates	From		To
Foreign Airline	Yes No	Which Airline
Airfare Reservations or arrangements made		Yes No
Trip Destination		Index
Purpose of Trip
Expense Information
Estimated Expense	Is Airfare billed to the University Yes No
Advance Required (click here to find out if you are eligible)		Yes No
Advance Requested (if Yes enter the Amount)
Prepaid Hotel Expenses Required (If yes please fill in below)		Yes No
Hotel Name
Hotel Address (street, city, state/country, Zip Code)
Amount of Hotel Deposit
Confirmation#: (if applicable)		Stay Dates
Prepaid Conference Expenses Required (If yes please fill in below)		Yes No
Conference Registration Vendor Name
Vendor Address (street, city, state/country, Zip Code)
Amount of Registration Fee		Conference Location
Confirmation#: (if applicable)		Conference Dates