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West Virginia Wesleyan CollegeTitle III Strengthening Institutions Grant ProgramTravel Report Form

Instructions: This form is to be completed and submitted to the Title III Office within 10 days post travel. Additionally, please contact the Teaching and Learning Center Coordinator to schedule your post-travel workshop. Name Position Date of Travel Location of Travel Name of Conference

1. This conference/workshop will contribute to institutional development and is related to the Title III objectives in the following way:

2. How/when will you utilize information or skills gained through this conference/workshop at Wesleyan? In which course or program will you be applying something gained from this experience?

3. What specific insights will be shared with colleagues during your required post-travel workshop?

4. Please attach conference documentation to this form (agenda, program, etc.)5. Please attach a detailed WVWC Expense Report and receipts to this form.

Signature Date

To be completed by Title III Office:

Total Cost of Travel $ Day/Time of Post-Travel Workshop

West Virginia Wesleyan CollegeTitle III Strengthening Institutions Grant ProgramTravel Report Form

Approved By: Signature Title Date