Office of International Programs Impact Report (Faculty and Staff)

Description of Award

please briefly describe the purpose for this award (i.e. travel dates and location and primary reason for the international travel).

Your name

Your Unit:

If Graduate Student, please provide the name of your advisor.

Your E-Mail Address

Your Phone Number

University Status

Faculty

Staff

Extension

Undergraduate Student

Graduate Student

First time international traveler?

Yes

No

Amount of Award Received: ($)

Date Received: (Month/Year)

Estimated Amount of Funding Leveraged ($):

Please provide a brief paragraph describing the overall results of your travel and the impact on you personally and professionally. Please also include a summary of how this experience contributed to broader departmental or College international goals.

Please verify that you are not a robot