Request for Conference/Outside Meeting

PLEASE COMPLETE THIS FORM IF YOU NEED TO REGISTER FOR TRAINING, A CONFERENCE OR A MEETING OFF CAMPUS. YOU WILL RECEIVE A STATUS EMAIL WITHIN 24 HOURS OF YOUR REQUEST.

* indicates required fields.

Conference Attendee *

Attendee's Phone Number *

Attendee's Email *

Conference/Meeting Approved by *

Registration URL *

Are You a Member of the Organization Sponsoring the Conference/Meeting? *

Yes

If yes, Member Login

If yes, Member Password

Will STAP Funds be used? If no, please enter N/A on questions 9 - 11 *

Yes

If yes, please enter your employee ID Number ( If no, please enter N/A) *

STAP Fund Balance (If not using STAP Funds enter N/A) *

Conference/Meeting Title *

Conference/Meeting Start Date *

Conference/Meeting End Date *

Conference/Meeting Location *

Will you be attending a workshop? *

Yes

Workshop 1

Workshop 2

Workshop 3

Dietary Restrictions *

Yes

Select Meal Preference *

Emergency Contact *

First *

Last *

Emergency Contact Phone *

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