Transitional Entrepreneurship Colloquium Confirmation Of Attendance & Airfare/Mileage Reimbursement Request Form

May 31/June 1, 2024
Old Dominion University, Norfolk, VA

Name Name * First Last
Select One: *

Select One: Faculty Student Other Other
Attendance *
If attending in-person and requesting travel support, please fill the below by March 7th:
University/Affiliation
Name of Department Chair Name of Department Chair First Last
Department Chair's Email Address
Name of Dean Name of Dean First Last
Dean's Email Address
Flight Origin Airport or Miles
Estimated Flight Cost or Driving Mileage Cost (@ 65 Cents A Mile)
Estimated Arrival Date Estimated Arrival Date / MM / DD YYYY
Estimated Departure Date Estimated Departure Date / MM / DD YYYY
An email confirming the stipend amount will be sent by March 14th. Participants will receive a check/wire transfer from ODU Research Foundation after the colloquium.