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TRIO STEM Scholars
TRIO Travel Request Form

TRIO Travel Request Form

Event and Travel Request

Before filling out the Travel Request Form, please speak with your Educational Specialist.

Travel Request Information

Have you met with your Educational Specialist to discuss your participation in this conference?(Required)

Yes

No

Which TRIO Program are you in?(Required)

Student Full Name(Required)

Please enter your full legal name exactly as it appears on your government issued identification

First Middle Last

Preferred Name

Preferred Pronouns(Required)

He/Him/His

She/Her/Hers

They/Them/Theirs

Prefer not to answer

Boise State Email Address(Required)

Student ID number(Required)

Cell Phone Number(Required)

Date of Birth(Required)

MM

DD

YYY

Emergency Contact Name(Required)

First Last

Relationship(Required)

Emergency Contact Phone Number(Required)

Conference Information

Name of Conference(Required)

Conference Website

Scheduled Event Date(s)(Required)

Please enter dates in mm/dd/yyyy format

Do you have any dietary restrictions?(Required)

Do you require special accommodations? If so, please specify

Will you be traveling outside of Boise for the event?(Required)

Yes

No

Travel Information

Preferred Leave Date/Time (if traveling)

Preferred Return Date/Time (if traveling)

Are you a member of any Airline Loyalty programs?

Yes

No

If yes, please enter the name of the airline and membership number here. If you are a member of multiple loyalty programs, please list all membership details

Preferred number to text travel alerts

Are you set up with Direct Deposit at Boise State University?

Note: If you are traveling, you are eligible to receive per diem. Per diem is an allowance for any meals that you have to purchase while traveling or that are not provided by the conference or workshop. Your allowance will be deposited directly into your account. If you do not have direct deposit, please let your Educational Specialist know immediately.

Yes

No

Travel Policies

If traveling, please carefully review the TRIO STEM Scholars travel guidelines and expectations document and acknowledge that you have read and understood the expectations before you submit this request.

Read and review the travel guidelines and expectations here.

Acknowledgement

I acknowledge that I have read and understood the TRIO Rising Scholars travel policies

Professional Development Reflection Summary

After your event you will be required to submit a Professional Development Reflection Summary of your experience. Please find the guidelines at the link below. Talk to your educational specialist as well to discuss how you can incorporate your reflection into a professional portfolio.

Professional Development Reflection Summary

Acknowledgement(Required)

I will submit a reflection summary within two weeks of my participation in the event

TRIO STEM Scholars

triostem@boisestate.edu

Education Building, Room 218

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