Teaching Enrichment Travel Grant Application

Schreyer Institute
for Teaching Excellence
301 Rider Building
227 West Beaver Avenue
University Park, PA 16802
Phone: (814) 865-8681
Fax: (814) 865-8659

104-105 Pollock Building
University Park, PA 16802
Scanning: (814) 863-2802
Testing: (814) 863-8116
Fax: (814) 863-2322

A Division of Undergraduate Education at Penn State.

Please complete all fields First name:
Last name:
Title:
Department:
College:

Campus Address: Campus address 1:
Campus address 2:
Campus phone:
Campus location:
Penn State UserID:
E-mail address:

Travel Information Name of conference:
Traveler's role:
Title of presentation:
Travel departure date:
Travel return date:
Total cost of trip:
Total amount requested: (may not exceed $500)

Department Information: Name of department financial contact:
UserID of department financial contact:

Purpose Statement:

Budget Information: Amount of matching funds received:
Source of funds:

You may also print this form and submit via mail or fax
Schreyer Institute for Teaching Excellence
301 Rider Building II
University Park, PA 16802
Phone (814) 863-2599
Fax (814) 865-8659