Guest Speaker Form
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GUEST SPEAKER /HONORARIUM
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Approval Request Form
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Speaker Name
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Social Security #Phone
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Home Address:Street #
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City
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StateZip
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Program/Event/Class of Presentation
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Date of PresentationLocation of Event
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Honorarium Amount
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Travel (Air,Bus,Taxi,Parking)
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Auto Mileage @ .55 Per Mile
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Lodging
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Meals
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Total Amount Billed#VALUE!
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Note: To be reimbursed for expenses, original receipts must be attached. A 1099 for payment of services provided will be issued to IRS for tax reporting purposes.
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FACTORS TO BE CONSIDERED FOR HONORARIUMYesNo
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1The speaker is hired for specific event
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2The speaker is a current employee
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3The speaker is being hired on continuing, recurring, or long term basis
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4Nonresident Alien speaker is able to provide documentation of legal right to work in the United States
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Accounting String
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AccountFundDeptProgActivityClassProject
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Submitted ByDeptFaxDate
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Ext
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Department Manager ApprovalExtDate
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Dean/Director ApprovalExtDate
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For Account Payable- Qualifies for payment as Honoraria
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Honoraria