Name(Required)

Full name as shown on your government issued ID

First Last

Preferred Name

Mailing Address for Reimbursement Check(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Email(Required)

Who is your emergency contact during this travel?(Required)

This emergency contact is my(Required)

Please list a phone number and/or email address for your emergency contact.(Required)

CSU will only contact this individual in case of emergency during your travel.

• Are you currently a Colorado State University employee?(Required)

Yes

CSUID(Required)

Are you a US Citizen?(Required)

Yes

What is your country of citizenship?(Required)

Are you a nonresident alien for tax purposes?(Required)

What is your Visa type?(Required)

Please describe the purpose of your travel to Colorado State University.(Required)

What is the email address for your CSU host for this visit?(Required)

For graduate student recruits, do you plan to attend the FRSES conference during your visit?(Required)

Yes

Not a graduate student recruit

What are the dates of your planned visit?(Required)

If you will be visiting within the next 3 weeks, we will need you to arrange and pay for your own travel expenses and request reimbursement after your visit.

If travel will occur at least 4 weeks from today, CSU can pay for the flight on your behalf. Would you like CSU to book a flight on your behalf?(Required)

Yes

Would you like CSU to book a shuttle from and/or to the airport on your behalf?(Required)

Yes

Would you like CSU to book a hotel on your behalf?(Required)

Yes

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