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Course Coverage Approval Request Form

This form is only for current UConn School of Business Marketing Department Faculty.

Purpose of the form:

To determine appropriate course coverage while you are traveling.

Form Instructions

Please fill out the form PRIOR to submitting a Concur Travel Request. The form will be emailed to Nancy White for Department Head approval.

Form

Course Coverage Approval Request

Name*
First Last
Email*
Business Travel Information
Conference Name/Business Purpose of Travel*
Destination*
Departure Date*
MM slash DD slash YYYY
Return Date*
MM slash DD slash YYYY
Course Coverage
Are you scheduled to teach class(es) on any days during your requested travel period?*
- Yes
- No
If yes, how many courses?*
Class 1: Date*
MM slash DD slash YYYY
Class 1: Course Number*
Class 1: Arrangements for Course Coverage*
Class 2: Date*
MM slash DD slash YYYY
Class 2: Course Number*
Class 2: Arrangements for Course Coverage*
Class 3: Date*
MM slash DD slash YYYY
Class 3: Course Number*
Class 3: Arrangements for Course Coverage*
For any additional courses, please note the date, course number, and arrangements for course coverage.*
Name
This field is for validation purposes and should be left unchanged.