MERC Travel Authorization Form

Name(Required)

Please indicate your full name as listed on your government-issued ID.

Date of birth(Required)

Required for airline reservation and car rental purposes. Please indicate the DOB listed on your government-issued ID.

Gender(Required)

Required for airline reservation purposes. Please indicate the gender indicated on your government-issued ID.

Female

Male

Boise State ID Number

Email(Required)

Please enter your Boise State email

Phone Number(Required)

Required for Boise State travel authorization

Emergency Contact Name(Required)

Please enter the name of your emergency contact, required for Boise State travel authorization

Emergency Contact Phone Number(Required)

Relation to Emergency Contact(Required)

Departure Date(Required)

Return Date(Required)

Destination(Required)

City, State, Country

Purpose(Required)

Business purpose and description(Required)

Please thoroughly describe event, purpose of event, and any other necessary details (e.g. conference name or event description) to help clarify business purpose

Conference or Event Website

Business Itinerary(Required)

Please upload an itinerary which shows your business activities and identifies periods of personal travel.

Max. file size: 10 MB.

Are you traveling with other employees?(Required)

Yes

No

Please type first and last name of all other employees(Required)

Are you traveling with students?(Required)

Yes

No

Please type first and last name of all students(Required)

Is this foreign travel?(Required)

Yes

No

Is personal travel scheduled in conjunction with business travel? *(Required)

Yes

No

Supervisor(s)(Required)

Please list the first name, last name, and email of your supervisor(s) who will be approving the travel authorization.

MERC Travel Authorization Form

MERC Travel Authorization Form

Microelectronics Education and Research Center