Explore Summit for PLTW Students Reimbursement Form

Travel Reimbursement for Explore Summit for PLTW Students

Please use this form to request travel reimbursement for MSOE's Explore Summit for PTLW Students. There is a reimbursement limit of $250 per participant. Please email summerprograms@msoe.edu for assistance.

* = required field

Student Name *

First

Last

Payable To *

First

Last

Address *

Street Address

Street Address Line 2

City

State / Province / Region

Postal / Zip Code

Country

Phone Number *

###

####

Email Address

Date of travel to MSOE: *

YYYY

Date of travel home: *

YYYY

How did you travel to camp? *

Car

Bus

Train

Airplane

If you traveled by car, how many miles did you travel round trip?

If you traveled by car, multiply the total miles by $0.655 (reimbursement rate) and enter that value here. This is the amount you will be reimbursed.

If you traveled by car, include a link to a Google map with distance to MSOE in miles. For reference, MSOE's address is 1025 N. Broadway, Milwaukee, WI 53202

If you traveled by bus, train or airplane, enter the total amount of your fare. This is the amount you will be reimbursed.

If you traveled by bus, train or airplane, upload a copy of your receipt.

Milwaukee School of Engineering

Travel Reimbursement for Explore Summit for PLTW Students

Travel Reimbursement for Explore Summit for PLTW Students

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