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Prevention Research Center Travel Authorization
Prevention Research Center Travel Authorization
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First Name
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Last Name
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Email Address
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USC ID (Faculty/Staff) or VIP ID (Students)
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If Student, Expected Date of Graduation
If you are traveling with other students and are sharing lodging, please list all names, VIP ID numbers and expected dates of graduation.
Travel Information
Start Date for Travel
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End Date of Travel
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Destination City
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Destination State
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Destination Country
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Travel Purpose - if conference, please include name of conference
*
Estimated Expenses
Registration Fee
Hotel
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Number of miles if driving
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