Personal Information First Name * Last Name * Employee ID# * Email Address * Section A: Travel and FeesFill out Section A if travel is involved in your proposed research project. If not, please skip ahead to Section B. Section A Destination Purpose of Trip Please attach appropriate documentation. Destination Documentation Please attach invitation to speak at a conference, acceptance of a paper, etc.). All documents must be in PDF format.Files must be less than 2 MB.Allowed file types: pdf. Travel AuthorizationYour home department is responsible for obtaining a Travel # with estimated travel expenses through the University Travel Office.On rare occasions, The Melton Center may issue a Travel #.If you are awarded funding from the Melton Center, please ask your home department Fiscal Associate to get in touch with Lori Fireman (fireman.2@osu.edu) to process the transfer of awarded funds. Do you wish Melton Center to obtain travel authorization for this trip Yes No Department reponsible for obtaining travel authorization Estimated Travel Expenses Select one of the following statements I will be presenting a paper, serving as a moderator, or acting as a panel member I will be attending as an appointed committee member, editorial board, or officer Estimated Registration Fees and Other Expenses Total Expenses in Section A Travel expenses plus registration fees and other expenses. Section B: Project/Event Detail Section B Project Title Please Upload Your Budget All files must be in PDF format. If you don't have a budget to upload, please use the box below to list out your relevant budget expenses.Files must be less than 2 MB.Allowed file types: pdf. List expensesa)Supported Project Personnel (b)Fringe Benefits (c)Equipment (d) Speaker Expenses (e) Material and Supplies (f)Publication Cost/Reproduction/Dissemination (g) Computer Services (h) Fees for Licensing/Copyright, etc. Applicable Expenses Other Expenses Total Expenses for Section B Required DocumentsAll documents must be in PDF format. Narrative All documents must be in PDF format.Files must be less than 2 MB.Allowed file types: pdf. Current Curriculum Vitae All documents must be in PDF format.Files must be less than 2 MB.Allowed file types: pdf. Total Expenses (Section A and B) $ Expenses Covered By Other SourscesFaculty and staff are encouraged to request travel support from their home department, and any other source available. Covered by home department or center $ Covered by grant or other source $ No other source No Other Source Total amount requested from the Melton Center $ Comments Leave this field blank CAPTCHAThis question is for testing whether you are a human visitor and to prevent automated spam submissions.
