HBCU C2 App Design Showcase Travel Accommodation Request

HBCU C2 App Design Showcase Travel Accommodation Request
To expedite travel arrangements, HBCU C2/Tennessee State University is offering to book flights and/or the hotel (April 11– 12, 2024) for all participants. The flight/host hotel costs will be deducted from the $3,000 overall travel allotment.

The reimbursement will cover your allowable travel expenses (hotel, flight, rental car (gas), personal car (gas and mileage), and hotel parking fees. Reimbursement requires all receipts including those receipts if you are driving your own vehicle or rental car expenses. If you are driving your vehicle, reimbursable expenses are mileage, gas, and hotel parking fees.

Please complete the form below to request travel for the HBCU C2 App Design Challenge, hosted by HBCU C2/Tennessee State University, April 11 – 12, 2024 at the Grand Hyatt in Nashville, Tennessee.

Note: All program managers, faculty, and students traveling with the C2 Innovation Team must complete a registration form.

Your eligibility to receive reimbursement must be confirmed by the C2 program manager at your institution.

If you have any questions, please contact Dr. Robin Blackman at rblackm2@tnstate.edu or 615-963-7210
Request Type*

Your Information
Are you planning to fly or drive to Nashville, TN for the HBCU C2 App Design Challenge, April 11-12? *
If you are driving your own vehicle, reimbursable expenses are mileage, gas, and hotel parking fees. Receipts must be provided to be reimbursed for driving your own vehicle or rental car expenses.
Institution*
Role*
Name*

PrefixFirst NameMiddle NameLast Name
Home Address*

Street Address

Street Address Line 2

CityState

Zip Code
Personal Email*
Mobile Phone*
Date of Birth*

MonthDayYear
Date
Gender*

Travel Information
Do you have TSA PreCheck?

YesNo
TSA PreCheck Number
Airport Departing City & State*
Departure Time Preference *
Airport RETURNING City & State*
RETURNING Time Preference *
What City/State are you driving/riding with someone from?*

Hotel Information
Please note: This request is to accommodate you for 1 night at the Holiday Inn Express Downtown Nashville on April 11 with check out on April 12. No additional nights will be covered or exceptions made.
Bed Preference *
Bedding requests are not guaranteed and are solely based on the hotel's availability

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