Travel Arrangements Request for IMPACT-NG

Please complete the form below to request air travel or travel reimbursements for road travel.

Use this form for air travel requests ONLY. Enter Your FULL NAME (Including middle name) as it appears on your government issued ID.

Date of Birth

YYYY

Phone

(###)

###

####

Home Airport initials

If more than one preferred airport, list airport initials separated by comma.

Flight-to-Louisville date preference

YYYY

Return-to-home flight date preference

YYYY

Copy and paste itinerary preference with airline names and flight numbers.

Any other information you would like us to consider?

ACKNOWLEDGMENT OF SUPPORT AND DISCLAIMER

This material is based upon work supported by the National Science Foundation Award ID #2348869 and collaboration from the National Nanotechnology Coordinated Infrastructure’s KY Multiscale Site . Any opinions, findings, and conclusions or recommendations expressed in this material are those of the author(s) and do not necessarily reflect the views of the National Science Foundation.