PSYC Guest Speaker Request

PSYC Guest Speaker Request

Name of person completing this form*

Email of person submitting this form*

Name of visitor*

Email address of visitor*

EID of visitor (if known)

Begin date of service or travel*

End date of service or travel*

Purpose of visit*

What service will be provided (e.g., guest speaker, research collaboration)?:

Visit Details

Please indicate any class, conference, speaker series, or department area related to this visit (e.g., speaking in Dr. Smith’s PSY 301, developmental area talk).

Will the visitor’s travel expenses be paid?*

Select or enter value

Expense Limit?

Please describe any limits on travel funding (e.g., total of $500 travel expenses authorized)

Expenses to be covered*

Select all that apply

Select or enter value

How will the visitor's lodging be arranged?*

Select or enter value

Will the individual receive an honorarium?

Select or enter value

Please note that UT will not allow an honorarium to be paid to a visitor unless there is an approved purchase order or contract in place before the visitor arrives. Also, please note that individuals traveling on a visa may face additional limitations on whether they are allowed to accept an honorarium.

Honorarium Amount*

Funding Account*

Provide 10-digit UT account number that will fund the travel and/or honorarium

Additional Details

Please indicate if the traveler will receive any other payments related to this visit, or if there are any other special considerations for this visit (e.g., talk will be recorded, visitor is charging a fee, visitor wants to sell books at this event, visitor will be paid as a contractor for this work).

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