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FAIE Reimbursement Form
This form is required for anyone requesting funding support for travel from FAIE.
Click here to view the full FAIE reimbursement policy.
For board members who are not fully funded by another source (institution, company, other organization, etc), FAIE provides a $100 stipend to support travel costs.
For workshop presenters or guest speakers who must travel to attend the conference, FAIE provides a $500 stipend to support travel costs.
For NAFSA Region VII travel grant recipients, FAIE provides a $500 travel grant to cover registration and travel costs.
If you have any questions or need help, contact the FAIE Treasurer, Jennifer Frankel at
jfrankel@internationalstudentinsurance.com
.
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Your Name
*
First
Last
Email
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Mailing Address
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Address Line 1
Address Line 2
City
--- Select state ---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
This is the address where we will send the check for your stipend/reimbursement. Double check that it is complete and correct!
Contact Phone Number
Number the bank can call if they need additional info
Name of Conference/Event for which you are requesting reimbursement:
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Type of Request
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FAIE Board Member
Workshop Facilitator / Guest Speaker
NAFSA Region VII Travel Grant
Other (specify below)
Funding Confirmation Statement
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I confirm that I am required by FAIE to attend the event named above and I am not eligible to receive full travel funding from any other source.
Stipend Request Confirmation
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I confirm that I will attend/attended the event named above and use the FAIE stipend to fund my travel expenses.
Specify reason for reimbursement request:
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Total to be reimbursed
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Upload Receipts
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Click or drag files to this area to upload.
You can upload up to 10 files.
Upload any receipts or proof of purchase for which you are requesting reimbursement. Make sure the date of purchase, costs, and total are clearly legible.
Itemize purchases to be reimbursed, the purchase location, and how used
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Submit to FAIE Treasurer for Approval
