Amount Approved: $ _____________

Account Approved:   _____________

Yale University Library

ADMINISTRATIVE TRAVEL

Request for Funding Support

Please complete both sides, secure the required signatures, and return to Library Administrative Services. Incomplete forms cause delays so we are asking that all information is provided.

Name  ________________________________________	Date  _______________
Department/Library  _____________________________	Phone ______________
Function/Conference  __________________________________________________
Dates of Attendance  ____________________________	City ________________
Sponsoring Organization _______________________________________________

I. PURPOSE OF TRAVEL

_____ Training to improve or acquire skills in support of offered or anticipated services (describe how Yale Library will benefit)

___________________________________________________

___________________________________________________

_____ Institutional representation at conference

_____ Donor relations and transportation of collection material to the Library

_____ Site visit

_____ RLG business for (specify purpose or committee; indicate meeting dates)

___________________________________________________

_____ Other network, consortia business (specify) _____________________

_____ Vendor relations (specify vendors to be contacted) ________________

_______________________________________________________

_____ Other (specify) ____________________________________________

II. ESTIMATE OF EXPENSES

A. Registration (member rate only)	$ __________
B. Travel 1. Air fare (lowest rate) 2. Rail fare 3. Ground transportation in Connecticut 4. Ground transportation outside Connecticut 5. Auto: (number of miles _____ x rate per mile)	$ __________ $ __________ $ __________ $ __________ $ __________
C. Lodging (number of nights ___ x $75 conf. rate)	$ __________
D. Meals (number of days ___ x per diem rate)	$ __________
E. Other (specify)	$ __________
F. Total Costs	$ __________
G. Amount of funding from other sources	$ __________
(Please specify grant, Special Use Account, etc.) _______________________________
H. Amount requested:	$ __________

III. PRIORITIES

Indicate priority of this request among those Administrative Travel requests submitted:

Priority number __________ of __________ submitted.

Your signature _______________________________

IV. APPROVALS

__________ Approve	__________ Disapprove	__________________________ Department Head	_________ Date
__________ Approve	__________ Disapprove	__________________________ AUL	_________ Date

Revised 6/96