Amount Approved: $ _____________

Account Approved:   _____________

Yale University Library

PROFESSIONAL TRAVEL

Request for Funding Support

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

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

I.  Please check all of the following categories which apply to your activities at the conference (ALA, MLA, ASIS, ATLA, SLA, etc.).

_____ Association member	_____ Panel discussion member
_____ Delivering a paper	_____ Committee chair
_____ Elected officer	_____ Committee or board member
_____ Giving a workshop or presentation	_____ Other (specify) __________________
_____ Chairing a discussion group/task force ___________________________________

Please note below the specific committee or program you are participating in:

___________________________________________________________________

II.  Please describe the conference's relevance to your current work and attach any brochure or other documentation which describes the program.

Your signature: ___________________________________________________________________

III. APPROVALS

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

Revised 4/98