School of PA Travel Support PA School Travel Support Applicant InformationName* (First & Last)UF ID*Class Year*Phone*Home Address*Please enter the address that corresponds with your GatorOne account. Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code UF Email* Conference and/or Publication InformationYour participation for this conference will be Virtual (you will videoconference/Zoom) In-Person (you will travel to the location) Conference Name and Dates*Ex. PAC Funday – April 3-9, 2022Conference Location ( Street, City and State)*Your Travel Dates*Dates you intend on traveling. ex. April 3-9, 2022Does this include any Personal Travel?* Yes No Cost EstimatesPlease include estimates as reservations must be purchased through the UF GO portal. Purchases outside the UF GO portal may not be reimbursed.Registration Cost*Please enter the amount. If unknown enter 0Flight Estimate*Attach Flight estimate.*Max. file size: 125 MB. Hotel Estimate*Please enter the amount. Attach hotel estimate*Max. file size: 125 MB. Please attach your hotel estimate.Estimated MileagePlease enter the total miles round trip if driving to the conference. *Starting point should be HMEB. This DOES NOT include drive to airport.Total mileage expenseTotal Estimated Expense RequestAdditional InformationAdditional Documents Drop files here or Select files Max. file size: 125 MB. (PDF preferred)FileMax. file size: 125 MB. Please note:Once you submit your application you should received an email within 5 business days with next steps. If you do not received any information after a week, please reach out or reapply.