Conference and Travel Request Form Conference and Travel Request FormYour Name First Last Date MM slash DD slash YYYY Your Email Address Enter Email Confirm Email Conference/Event/Travel InformationSponsoring Organization or Destinationspell out any acronymsName of EventDate(s) of EventTravel Date(s)Location of EventHost Hotel or Facilityif applicableEstimated ExpensesEstimated Costs for ParticipationPlease list this information to the best of your abilityRegistrationLodgingMealsAirfare Add RemoveMealsSuppliesOtherTotal Add RemoveTaxi/Shuttle/RidesVehicle RentalMileageParking Add RemoveRequested SuppliesA supply request must accompany this formConference Purpose and GoalsWhat is the make-up of attendees?How will this event benefit your professional development?How will this event benefit CPOF?Has CPOF attended this event before? Yes No What were the results?Do you have an active role in this event?speaker, committee work, organization, etc,Is a list of attendees/exhibitors available prior to the event? Yes No Is the host willing to waive any registration fees? Yes No Are you requesting the attendance of anyone else? Yes No Is there any other information you'd like to be considered?Upload any documentation you may haveUpload your documents in .pdf, .doc or .docx formatAccepted file types: pdf, doc, docx, Max. file size: 25 MB. Δ