CELS Forms

CELS Administrative Forms

CELS INTERNATIONAL ONLY Travel Request Form

Fields marked with an * are required

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Travel Arranger *

Traveler First and Last Name *

Traveler email *

I am a student

Student Appointment End Date

Supervisor Approved *

PI Approved *

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Type of Request *

Project Code or Project Name *

To search for a project code use whatstheplan.

Does this trip include personal time? *

Main Funding Type *

Purpose *

Attendee
Chairperson
Exhibitor
Invited Speaker
Speaker
Poster Presenter

Type of Event *

Meeting
Conference - In Person
Conference - Virtual
Field Activities

Home Airport - Departure *

Start (Departure) Date *

Time of Day - Departure

End (Return) Date *

Time of Day - Return

Business Destination City, State, Country *

Preferred Flights (if known)

- There is no guarantee that the flights you provide will be within ANL policy.

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Meeting/Conference Name *

Meeting Start Date *

Meeting End Date *

Meeting URL *

If not applicable, enter N/A.

Is there a registration fee? *

Ground Transportation (Home-Departure) *

Personal Vehicle
Uber/Lyft/Taxi
Public Transportation

Note: If using your personal vehicle, please submit a parking receipt. Economy & long-term parking only. Short term parking, valet, or daily parking will not be reimbursed.

Ground Transportation (Home-Return) *

Personal Vehicle
Uber/Lyft/Taxi
Public Transportation

Note: If using your personal vehicle, please submit a parking receipt. Economy & long-term parking only. Short term parking, valet, or daily parking will not be reimbursed.

Rental Vehicle needed?

Note: Per policy, refuel prior to return, ANL will not reimburse for airport refueling.

If traveling w/others, please list their names

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3rd Party Funding? *

No
Yes, Paid by Traveler & Reimbursed by Host
Yes, Arranged & Paid Directly by Host

Note: If yes to 3rd party, select "yes" to both options if applicable.

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EVS Employee? Checking this box will reveal EVS-specific fields, and will copy the ES&H coordinator on the submitted form.

EQUIPMENT: Will the traveler be taking DOE or Lab Owned Equipment? *

Note: A loaner laptop is required when traveling to Sensitive Countries and State Sponsors of Terrorism List.

Does traveler have intl. SOS or data plan on mobile device? *

I agree to obtain required travel docuements (passport, visa). *

Primary Purpose (select one or more) *

Professional Conference or Workshop
Seminar/Symposium
Working group or colloquia (scientific meeting)
Site Visit
Research and Development activities under an informal, lab-to-lab, or government-to-government agreement
Meeting(s) on scientific, technical, project or programmatic matters
Procurement-related matters
Official Stop Over
IAEA Travel
LDRD Project Work
Permanent Change of Station
Other (list below)

Other

Lab-to-Lab Agreement? *

University-to-Lab Agreement? *

International Agreement? *

Will classified information be discussed? *

Will traveler interact with anyone from a sensitive country? *

Does this itinerary involve training? *

Will any part of the trip discuss sensitive subjects? *

Meetings with senior government official(s)? *

Is info approved for unrestricted release in public domain? *

Will CUI be shared or released? *

Is any info subject to U.S. Export Control restrictions? *

This trip includes travel to China, Iran, North Korea, or Russia

Host Name *

Facility to be visited *

Host Phone Number *

Facility Address *

Affiliated Institution *

Benefit to the Government (2000 CHARACTER LIMIT) * EXAMPLE: I am giving a talk titled “Understanding and avoiding automatic differentiation pitfalls” at the EuroAD workshop in Nice, France. The EuroAD workshop is the longest-running annual event attended by automatic differentiation researchers from all over the world to discuss the latest advances in the field and discuss potential collaborations. My talk will present our ongoing work on improving the reliability of automatic differentiation, which will increase the visibility of our research and may lead to more collaborations, users of our methods, or discussions that will help us improve our work. My participation will benefit Argonne National Laboratory and DOE-ASCR by raising the visibility of our research; this is important to DOE-ASCR because it can lead to our work being used, improved upon, and for collaborations to emerge that could lead to more funding. If I am not able to attend, Argonne may miss out on opportunities to discuss collaborations and future funding proposals with other researchers in the field from various European and US-based universities and companies.

BENEFIT TO THE GOVERNMENT MUST ADDRESS: If there are multiple destinations or meetings, please use ONE Benefit to the Government Statement.

1) The purpose of the travel.

· If you are attending a conference or workshop, please include the name in your justification.

2) The benefit to Argonne and the DOE program

· Provide the strategic and economic benefit.

· Please provide as much information and relevant details as possible.

· Be prepared to justify the explanation.

3) The impact of not traveling.

· How will this affect Argonne and the DOE program if your travel is not approved?

I’m attending NAME OF CONFERENCE in LOCATION, where I will be giving a talk/poster/keynote address titled “NAME OF PAPER/TALK.” This conference is (PROVIDE BACKGROUND: WHAT IS ITS PURPOSE, WHO ATTENDS, ETC.). My talk will (PROVIDE MORE INFORMATION ON YOUR TOPIC, OR WHAT YOU HOPE TO ACHIEVE WITH YOUR TALK). My participation will benefit Argonne and DOE-(PROGRAM OFFICE) by (DESCRIBE TANGIBLE BENEFITS TO DOE). If I am not able to attend, (DESCRIBE THE IMPACT).

Multiple Destinations?

CLICK THIS BOX IF YOU HAVE ADDITIONAL LOCATIONS.

Additional notes or special instructions to travel arranger

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