UNIVERSITY OF NOTRE DAME
MEMORANDUM ON PROPOSED TRAVEL

1. NAME OF TRAVELER:

2.  DATE:

3. TRAVELER'S POSITION AND DEPARTMENT OR OFFICE:

4.  PURPOSE OF TRAVEL AND DESTINATION:

5. DATES OF ABSENCE FROM THE UNIVERSITY:

6. HOW TO CONTACT YOU (IN CASE OF EMERGENCY):

7. TRAVEL EXPENSES TO BE PAID OUT OF PROFESSIONAL TRAVEL_______OTHER ____________

8. ADDITIONAL INFORMATION:

SIGNATURE                                                                                  DATE

___________________________________ TRAVELER                                  _______________

___________________________________ SUPERVISOR                              _______________

___________________________________ ASSOCIATE DIRECTOR          _______________

Revised 6-29-01