Faculty Travel Program Participation Summary Sheet

Faculty Travel Program Participation Summary Sheet

Home SEC University*

University of Mississippi

Traveler First Name*

Traveler Last Name*

Traveler Appointment/Title*

Host SEC University*

Select

Visit Date(s)*

Check if multiple visits to the same institution occurred:

Visit Date No. 2

Visit Date No. 3

Check if future collaboration is planned:

Brief Description of Collaboration (150 words):*

Due to record limitations, any replies beyond the 150 word limit may be edited to fit the limit during finalization.

Brief Description of Result/Outcomes (150 words):*

Due to record limitations, any replies beyond the 150 word limit may be edited to fit the limit during finalization.

Publicity Materials (Optional)

Please submit any promotional materials used during the visit (e.g., photos, flyers, etc.)

*To upload materials via the “browse files” option, navigate to each file separately.

Drag and drop files here or

If you have any questions, please contact Mary Lea McMillan (mlea@olemiss.edu x3316) or Jason Hale (jghale@olemiss.edu x3922).

Before clicking submit, please check the box below and enter your email address. Your responses will be sent to UM ORED where the report will be finalized before being sent to the SEC Faculty Travel Program administrator.

Send me a copy of my responses

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