DEPARTMENT OF CHEMISTRY

Northwestern University
Evanston, IL 60208-3113

Faculty Travel Form: Official University Business

Please consult the Northwestern University Travel Policies and Procedures document for guidelines regarding official business travel, sponsored project travel, re-imbursements, insurance coverage, etc.

Date:

Name:

Lin Chen <l-chen@northwestern.edu> Barry Coddens <bac248@northwestern.edu> Franz Geiger <f-geiger@northwestern.edu> Hilary Godwin <h-godwin@northwestern.edu> Shelby Hatch <slhatch@northwestern.edu> Brian Hoffman <bmh@northwestern.edu> Joseph Hupp <j-hupp@northwestern.edu> James Ibers <ibers@northwestern.edu> Mercouri Kanatzidis <m-kanatzidis@northwestern.edu> Joseph Lambert <jlambert@northwestern.edu> Frederick Lewis <fdl@northwestern.edu> Tobin Marks <t-marks@northwestern.edu> Thomas Meade <tmeade@northwestern.edu> Chad Mirkin <chadnano@northwestern.edu> SonBinh Nguyen <stn@northwestern.edu> Fred Northrup <f-northrup@northwestern.edu> Teri Odom <todom@northwestern.edu> Thomas O'Halloran <t-ohalloran@northwestern.edu> Kenneth Poeppelmeier <krp@northwestern.edu> Owen Priest <priest@northwestern.edu> Mark Ratner <ratner@northwestern.edu> Robert Rosenberg <rmr921@northwestern.edu> George Schatz <g-schatz@northwestern.edu> Karl Scheidt <scheidt@northwestern.edu> Tamar Seideman <t-seideman@northwestern.edu> Richard Silverman <r-silverman@northwestern.edu> Kenneth Spears <k-spears@northwestern.edu> Peter Stair <pstair@northwestern.edu> Fraser Stoddart <stoddart@northwestern.edu> Samuel Stupp <s-stupp@northwestern.edu> Igal Szleifer <igalsz@northwestern.edu> Larry Trzupek <l-trzupek@northwestern.edu> Olke Uhlenbeck <o-uhlenbeck@northwestern.edu> Richard Van Duyne <vanduyne@northwestern.edu> Michael Wasielewski <m-wasielewski@northwestern.edu> Eric Weitz <weitz@northwestern.edu>

MY TRAVEL PLANS DESCRIBED BELOW CONSTITUTE OFFICIAL UNIVERSITY BUSINESS.

Enter the Date(s), Destination, Host Name, Voice and FAX Contact Phone Numbers(one line per destination)

Specific purpose(s) of trip:

Note: Email reply will serve two functions — Signature Acknowledgement & Your Copy

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PUBLICITY INFORMATION

Please check the boxes below if the travel involves any of the listed activities:

Acceptance of an award *
Speaker at a Named Lecture Series **
Invited Speaker at a Meeting Symposium **
Invited Speaker at a Major University Colloquium **
* Please give the name of the award and awarding organization:
** Please give the title of the talk and the name of the group to whom presented:

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