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Scholarly Activity Fund Reimbursement Request



Please submit this form after the faculty member has completed their travel and expenses have been paid by the department. It is no longer necessary to submit copies of the travel voucher or receipt. If you need assistance, please contact the Graduate Education and Research at 660.543.4729. Thank you.

Faculty Last Name
First Name
Banner ID Number
Travel Dates
Conference Location
Department Name
Name of Budget to be Reimbursed
Fund
ORG
PRGM
Total Cost of the Trip
Notes
Submitted by