Visiting Artist Payment & Travel Request Form

Name of Requestor *
Name of Requestor
Payee
Name of Payee *
Name of Payee
Contact of Payee
Contact of Payee
Is This Payee Faculty/Staff and/or has been paid by MICA in the past year as Faculty, Staff or Student? *
Payment
Start Date of Services
Start Date of Services
End Date of Services
End Date of Services
$
Travel
Travel Needed
$
Visit/ Event Details
Is your Guest Artist/Speaker visiting during class time? *
If NO, Please reserve appropriate space via Webcheckout. (Please contact Logan Lyons and/or Melissa Capello if this event is not occurring at the Film Centre.)
Is this event open to the Film Centre Community? *
Do you plan to provide food for this event? *
Do you need student workers to help support this event? *
Is there a flyer or event via social media to promote this event? *
If yes, please forward materials to Logan Lyons (llyons7@jhu.edu)